Individual
JOANNE MARIE WILLIAMSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LP
Contact information
Practice address
3300 COUNTY ROAD 10, SUITE 500, BROOKLYN CENTER, MN 55429-3072
(763) 560-8331
(763) 560-8431
Mailing address
3300 COUNTY ROAD 10, SUITE 500, BROOKLYN CENTER, MN 55429-3072
(763) 560-8331
(763) 560-8431
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
LP3939
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
436321300
—
MN
Enumeration date
02/19/2007
Last updated
10/27/2009
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