Individual
CAROLYN DAWN GIANNONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., LP
Contact information
Practice address
1500 IRVING ST, ALEXANDRIA, MN 56308-2515
(320) 762-2400
(320) 762-8047
Mailing address
1914 FAIRWAY LN NE, ALEXANDRIA, MN 56308-8611
(320) 762-2400
(320) 762-8047
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5627
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/21/2010
Last updated
05/13/2015
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