Individual
MS. MARY MITCHELL LUNDEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LP
Contact information
Practice address
3701 LAKESHORE DRIVE, SUITE 106, NAVARRE, MN 55391
(612) 876-1991
Mailing address
12876 ORONO RD NW, ELK RIVER, MN 55330-1740
(763) 241-9968
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP2696
MN
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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