Individual
LAURA JANE PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., LP
Contact information
Practice address
220 DIVISION ST S, NORTHFIELD, MN 55057-2046
(612) 310-5310
Mailing address
220 DIVISION ST S, NORTHFIELD, MN 55057-2046
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LP6076
MN
Other
Enumeration date
07/13/2017
Last updated
07/13/2017
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