Individual
GEORGANNE FARSETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH D LP
Contact information
Practice address
570 ASBURY ST, SUITE 310, SAINT PAUL, MN 55104-1849
(651) 646-7010
(651) 646-7668
Mailing address
570 ASBURY ST, SUITE 310, SAINT PAUL, MN 55104-1849
(651) 646-7010
(651) 646-7668
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP1644
MN
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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