Individual
MS. MARY SUE ZAUDTKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. LP
Contact information
Practice address
1250 MOORE LAKE DR E STE 220, FRIDLEY, MN 55432-5135
(952) 388-8990
Mailing address
1250 MOORE LAKE DR E STE 220, FRIDLEY, MN 55432-5135
(952) 388-8990
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3667
MN
Other
Enumeration date
04/11/2006
Last updated
12/18/2019
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