Individual
DR. GAIL ROSE MAUDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., L.P.
Contact information
Practice address
325 E MAIN ST, ANOKA COURTHOUSE, ANOKA, MN 55303-2401
(000) 000-0000
Mailing address
2625 EDGERTON ST, LITTLE CANADA, MN 55117-1620
(651) 484-1544
(651) 415-1337
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP1096
MN
Other
Enumeration date
02/20/2008
Last updated
02/20/2008
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