Individual
DR. STEPHANIE ANNE BORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD, LP
Contact information
Practice address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1900
(320) 255-7891
Mailing address
2205 MEADOW OAK AVE APT 234, MONTICELLO, MN 55362-2611
(612) 382-4275
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6319
MN
Other
Enumeration date
11/16/2018
Last updated
11/16/2018
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