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Individual

SEAN JOSEPH FIELDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
401 E DUAL BLVD STE 120, ISANTI, MN 55040-7164
(763) 248-9324
Mailing address
401 E DUAL BLVD STE 120, ISANTI, MN 55040-7164
(763) 248-9324

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP6301
MN

Other

Enumeration date
01/08/2019
Last updated
01/08/2019
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