Individual
MS. CAROLE COFFEY HANNAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LP
Contact information
Practice address
1089 10TH AVE SE, MINNEAPOLIS, MN 55414-1312
(612) 746-8174
(612) 379-5328
Mailing address
1089 10TH AVE SE, MINNEAPOLIS, MN 55414-1312
(612) 746-8174
(612) 379-5328
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP 0995
MN
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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