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Individual

MS. ANN COLLEEN O'FALLON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LP

Contact information

Practice address
3737 COLFAX AVE S, MINNEAPOLIS, MN 55409-1023
(612) 720-9266
Mailing address
3737 COLFAX AVE S, MINNEAPOLIS, MN 55409-1023
(612) 720-9266

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP4090
MN

Other

Enumeration date
01/14/2016
Last updated
01/14/2016
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