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Individual

MR. ROBERT K VUCINOVICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S.L.P.

Contact information

Practice address
80 HAMPSHIRE AVE N, GOLDEN VALLEY, MN 55427-4923
(612) 889-4291
(763) 546-8189
Mailing address
80 HAMPSHIRE AVE N, GOLDEN VALLEY, MN 55427-4923
(612) 889-4291
(763) 546-8189

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP1141
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
330J6VU
BLUECROSS
MN
01
62-57935
UNITED BEHAVIORAL HEALTH
MN
Enumeration date
12/04/2006
Last updated
07/08/2007
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