Individual
MANJU ELIZABETH ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(281) 691-4244
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(281) 691-4244
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
LP6543
MN
Other
Enumeration date
09/10/2020
Last updated
09/25/2020
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