Individual
JILL RENEE MAGNUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LP
Contact information
Practice address
600 W 78TH ST, SUITE 220C, CHANHASSEN, MN 55317-9585
(612) 578-2530
(952) 400-5760
Mailing address
600 W 78TH ST, SUITE 220C, CHANHASSEN, MN 55317-9585
(612) 578-2530
(952) 400-5760
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3686
MN
Other
Enumeration date
11/13/2007
Last updated
11/13/2007
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