Individual
BRENDA LOUISE DOUVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2450 RIVERSIDE AVE, F196, MINNEAPOLIS, MN 55454-1450
(612) 672-6000
Mailing address
3026 46TH AVE S, MINNEAPOLIS, MN 55406-2325
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0035228
MN
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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