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Individual

MS. JILL ANN MARKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., L.P.

Contact information

Practice address
4317 UPTON AVE S, SUITE B, MINNEAPOLIS, MN 55410-1556
(612) 740-6777
(612) 824-6465
Mailing address
4944 MORGAN AVE S, MINNEAPOLIS, MN 55419-5252
(612) 823-7071
(612) 824-6465

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3109
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
38Q07MA
BLUE CROSS BLUE SHIELD
MN
01
95451
HEALTH PARTNERS
MN
Enumeration date
12/04/2006
Last updated
07/08/2007
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