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Individual

AKIKO TANAKA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D., L.P,

Contact information

Practice address
333 GRAND AVE, SUITE 213, SAINT PAUL, MN 55102-2582
(612) 547-9170
(651) 433-7390
Mailing address
333 GRAND AVE, SUITE 213, SAINT PAUL, MN 55102-2582
(612) 547-9170

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP5699
MN

Other

Enumeration date
01/17/2014
Last updated
02/01/2017
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