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Individual

HEATHER MUNDIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., LP

Contact information

Practice address
7066 STILLWATER BLVD N, OAKDALE, MN 55128-3937
(651) 777-5222
(651) 251-5111
Mailing address
7066 STILLWATER BLVD N, OAKDALE, MN 55128-3937
(651) 777-5222
(651) 251-5111

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3818
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
025M2TH
BCBS
MN
01
1029853
P1
MN
01
142660
UC
MN
01
250068
CP
MN
01
62-77559
UBH
MN
Enumeration date
07/25/2006
Last updated
08/27/2007
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