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Individual

ALEX J MARIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LP

Contact information

Practice address
790 CLEVELAND AVE S, SUITE 217, SAINT PAUL, MN 55116-3858
(952) 250-7549
(651) 698-0712
Mailing address
790 CLEVELAND AVE S, SUITE 217, SAINT PAUL, MN 55116-3858
(952) 250-7549
(651) 698-0712

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP4525
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
710717000
MN
Enumeration date
12/21/2006
Last updated
03/28/2017
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