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Individual

DR. SUE A. BREEDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D., LP

Contact information

Practice address
2431 HENNEPIN AVE, MINNEAPOLIS, MN 55405-2605
(612) 746-8536
Mailing address
5125 PORTLAND AVE, MINNEAPOLIS, MN 55417-1747
(612) 599-8585

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP2625
MN

Other

Enumeration date
10/02/2006
Last updated
07/09/2007
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