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Individual

DR. MARA ROSE DOCKENDORF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
310 CLIFTON AVE, MINNEAPOLIS, MN 55403-3218
(612) 223-8898
(612) 223-8899
Mailing address
310 CLIFTON AVE, MINNEAPOLIS, MN 55403-3218
(612) 223-8898
(612) 223-8899

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
CC01251
MN
103T00000X
Psychologist
Primary
LP6445
MN

Other

Enumeration date
06/15/2016
Last updated
09/16/2019
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