Individual
JEAN K HARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LP
Contact information
Practice address
7650 CURRELL BLVD, SUITE 130, WOODBURY, MN 55125-2257
(651) 714-8007
Mailing address
1680 BELLOWS ST, SAINT PAUL, MN 55118-3805
(651) 647-1900
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3595
MN
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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