Individual
MS. JUDITH MARAYELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.ED., LP
Contact information
Practice address
5900 GREEN OAK DR, SUITE 200, MINNETONKA, MN 55343-4708
(952) 334-6446
Mailing address
15841 27TH AVE N, PLYMOUTH, MN 55447-1900
(952) 334-6446
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5275
MN
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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