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Individual

MR. EARL NOLTING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD LP

Contact information

Practice address
3116 FAIRVIEW AVE NORTH, ST PAUL, MN 55113-1203
(651) 636-9100
(651) 634-3712
Mailing address
3336 LAKE JOHANNA BLVD, ST PAUL, MN 55112-7942
(651) 633-4333
(651) 634-3712

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP0594
MN

Other

Enumeration date
09/14/2006
Last updated
07/08/2007
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