Individual
JUDITH LYNN GRACEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.
Contact information
Practice address
6458 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3245
(952) 767-5900
Mailing address
6458 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3245
(952) 767-5900
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP6024
MN
Other
Enumeration date
10/06/2016
Last updated
10/06/2016
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