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Individual

DANIEL SIMONSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, LP

Contact information

Practice address
10026 UNIVERSITY AVE NW STE 215, COON RAPIDS, MN 55448-2215
(763) 639-7462
(952) 487-5234
Mailing address
10026 UNIVERSITY AVE NW STE 215, COON RAPIDS, MN 55448-2215
(763) 639-7462

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Enumeration date
11/05/2021
Last updated
11/05/2021
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