Individual
DR. LARAE M JOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
7026 E FISH LAKE RD, MAPLE GROVE, MN 55311-2832
(763) 772-6272
Mailing address
6340 ITHACA LN N, MAPLE GROVE, MN 55311-4146
(763) 772-6272
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
015031
NY
103TC1900X
Counseling Psychologist
Primary
LP5850
MN
Other
Enumeration date
03/07/2013
Last updated
06/07/2016
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