Individual
JULIE TILSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LP
Contact information
Practice address
3609 HARRIET AVE, MINNEAPOLIS, MN 55409-1120
(612) 462-3707
Mailing address
3609 HARRIET AVE, MINNEAPOLIS, MN 55409-1120
(612) 462-3707
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3522
MN
Other
Enumeration date
09/13/2006
Last updated
07/16/2010
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