Individual
AMANDA EXMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D., LP
Contact information
Practice address
11334 86TH AVE N, MAPLE GROVE, MN 55369-4528
(763) 255-2125
Mailing address
5123 253RD AVE NW, ISANTI, MN 55040-4203
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP6343
MN
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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