Individual
MARCY BETH JENSEN HALVORSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2115 COUNTY ROAD D E STE C100, MAPLEWOOD, MN 55109-5354
(651) 358-7020
Mailing address
2115 COUNTY ROAD D E STE C100, MAPLEWOOD, MN 55109-5354
(651) 358-7020
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP4818
MN
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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