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Individual

ANTOINETTE SCHUTTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.P.

Contact information

Practice address
4826 CHICAGO AVE STE 105, MINNEAPOLIS, MN 55417-1055
(612) 827-3028
Mailing address
5926 OXFORD ST N, SHOREVIEW, MN 55126-8414
(612) 810-8687

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3894
MN

Other

Enumeration date
02/22/2010
Last updated
02/22/2010
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