Individual
MR. DOUGLAS MAYNARD PANSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LP
Contact information
Practice address
404 W FOUNTAIN ST, ALBERT LEA, MN 56007
(507) 373-2384
Mailing address
404 W FOUNTAIN ST, ALBERT LEA, MN 56007-2437
(507) 373-2384
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
3589
MN
Other
Enumeration date
11/29/2006
Last updated
01/06/2021
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