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Individual

CHRISTINE CONELEA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 273-8700
(612) 273-8787
Mailing address
1 HOPPIN ST, SUITE 204, PROVIDENCE, RI 02903-4141
(401) 444-8945
(401) 444-8742

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
LP6157
MN
103TC2200X
Clinical Child & Adolescent Psychologist
PS01428
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PS01428
PROFESSIONAL LICENSE
RI
Enumeration date
07/08/2014
Last updated
07/21/2022
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