Individual
MS. ANN L HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LP
Contact information
Practice address
821 RAYMOND AVE., STE. 100, ST. PAUL, MN 55114
(651) 251-0369
(651) 251-3072
Mailing address
821 RAYMOND AVE., STE. 100, ST. PAUL, MN 55114
(651) 251-0369
(651) 251-3072
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP4073
MN
Other
Enumeration date
04/30/2007
Last updated
07/08/2007
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