Individual
MS. RITA C STANOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LP
Contact information
Practice address
1030 W COUNTY RD E, SHOREVIEW, MN 55126
(651) 482-7900
Mailing address
1857 DELLWOOD AVE, ROSEVILLE, MN 55113-6103
(651) 482-7900
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
MN1573
MN
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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