Individual
SUSAN MARIE SEXTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LP
Contact information
Practice address
1145 GRAND AVENUE, #201, ST PAUL, MN 55105
(651) 246-3372
(952) 361-1660
Mailing address
218 FAIRVIEW AVENUE SOUTH, ST PAUL, MN 55105
(651) 246-3372
(952) 361-1660
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP4934
MN
103TC1900X
Counseling Psychologist
LP4934
MN
Other
Enumeration date
09/26/2008
Last updated
04/18/2022
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