Individual
CATHERINE M MJOS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LP
Contact information
Practice address
6425 NICOLLET AVE, RICHFIELD, MN 55423-1668
(612) 861-1675
(612) 861-3446
Mailing address
17001 CLEAR SPRING TER, MINNETONKA, MN 55345-4318
(952) 975-0874
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3800
MN
Other
Enumeration date
03/10/2006
Last updated
07/08/2007
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