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Individual

JILL JANEL SOVINE DAHMEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LP

Contact information

Practice address
501 E BROADWAY, LITTLE FALLS, MN 56345-3280
(320) 630-6422
Mailing address
PO BOX 404, LITTLE FALLS, MN 56345-0404
(320) 630-6422
(507) 702-1063

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP5148
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8891320-00
MINNESOTA DEPARTMENT OF HUMAN SERVICES
MN
Enumeration date
07/22/2008
Last updated
12/27/2023
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