Individual
MS. JOANNE AGNES KANE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LP
Contact information
Practice address
600 25TH AVE S, SUITE 109 ROOSEVELT OFFICE PARK, SAINT CLOUD, MN 56301-4841
(320) 255-0343
(320) 654-0318
Mailing address
18401 377TH ST, AVON, MN 56310-9502
(320) 255-0343
(320) 654-0318
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LP#3876
MN
Other
Enumeration date
12/08/2005
Last updated
07/08/2007
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