Individual
MARY MORRISON GROVE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PSYD, LP
Contact information
Practice address
150 EMERSON AVE E, SUITE 100, SAINT PAUL, MN 55118-2535
(651) 552-3800
(651) 552-3826
Mailing address
PO BOX 43, MR 10809, MINNEAPOLIS, MN 55440-0043
(612) 262-4813
(612) 262-4194
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP3369
MN
Other
Enumeration date
04/03/2006
Last updated
07/08/2007
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