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Individual

JO A HITTNER

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PHD LP

Contact information

Practice address
166 MAIN ST, WINONA, MN 55987-3405
(507) 454-4341
(507) 453-6267
Mailing address
166 MAIN ST, WINONA, MN 55987-3405
(507) 454-4341
(507) 453-6267

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP2661
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
117929
U CARE
MN
01
38123GU
BCBS
MN
Enumeration date
11/08/2005
Last updated
07/08/2007
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