Individual
LYNN M POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
12403 74TH AV N, MAPLE GROVE, MN 55369
(763) 497-7977
(763) 425-4695
Mailing address
12403 74TH AV N, MAPLE GROVE, MN 55369
(763) 497-7977
(763) 425-4695
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
C1368
MN
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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