Individual
JIL LEVERONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2301 COMO AVE, 203, SAINT PAUL, MN 55108-1718
(651) 646-3687
(651) 645-8026
Mailing address
2301 COMO AVE, 203, SAINT PAUL, MN 55108-1718
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP2924
MN
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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