Individual
JULIE CLAIRE SPARE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
600 25TH AVE S, #109, SAINT CLOUD, MN 56301-4841
(320) 255-0343
(320) 654-0318
Mailing address
600 25TH AVE S, #109, SAINT CLOUD, MN 56301-4841
(320) 255-0343
(320) 654-0318
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP1570
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
191030
MAYO MANAGEMENT
—
01
—
25556
HEALTH PARTNERS
—
01
—
484059
VALUE OPTIONS
—
01
—
5581858
BCBS
MN
01
—
6229151
UBH SELECT CARE
MN
01
—
966270898002
PREFERED 1
—
Enumeration date
11/18/2005
Last updated
07/08/2007
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