Individual
DR. MARY WILLIS URSU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., L.P.
Contact information
Practice address
2508 W LAKE OF THE ISLES PKWY, MINNEAPOLIS, MN 55405-2332
(612) 377-1860
Mailing address
2508 W LAKE OF THE ISLES PKWY, MINNEAPOLIS, MN 55405-2332
(612) 377-1860
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP0861
MN
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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