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Individual

DR. RITA SANDIDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD, LP

Contact information

Practice address
1310 HIGHWAY 96 E STE 200, WHITE BEAR LAKE, MN 55110-3619
(651) 233-1382
Mailing address
1310 HIGHWAY 96 E STE 200, WHITE BEAR LAKE, MN 55110-3619
(651) 233-1382

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP6746
MN
103TC0700X
Clinical Psychologist
LP6748
MN

Other

Enumeration date
12/14/2021
Last updated
12/15/2021
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