Individual
JANE BAILLARGEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY D, LP
Contact information
Practice address
8425 SEASONS PKWY STE 105, WOODBURY, MN 55125-4393
(952) 993-6200
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
(651) 379-5159
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP6161
MN
103TC0700X
Clinical Psychologist
LP6161
MN
Other
Enumeration date
10/05/2017
Last updated
09/13/2024
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