Individual
MARDEE ROSEN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LP
Contact information
Practice address
8401 WAYZATA BLVD, SUITE 370, GOLDEN VALLEY, MN 55426-1343
(763) 544-1006
Mailing address
112 W EAGLE LAKE DR, MAPLE GROVE, MN 55369-6148
(763) 493-3700
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3953
MN
Other
Enumeration date
01/22/2007
Last updated
07/09/2007
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