Individual
DANIEL THOMASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LP
Contact information
Practice address
5565 BLAINE AVE, INVER GROVE HEIGHTS, MN 55076
(651) 450-8000
(651) 450-8066
Mailing address
1021 BANDANA BLVD E, SUITE 200, SAINT PAUL, MN 55108-5113
(651) 642-2700
(651) 642-9441
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP0436
MN
Other
Enumeration date
07/13/2006
Last updated
07/08/2007
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