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Individual

MS. PATRICIA ROSE MOSING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD, LP

Contact information

Practice address
3249 HENNEPIN AVE. #258, MINNEAPOLIS, MN 55408-3993
(612) 272-2587
(612) 236-4292
Mailing address
211 W 32ND ST, MINNEAPOLIS, MN 55408-3702
(612) 827-2436
(612) 823-4856

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3473
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
430G7MO
BLUECROSSBLUESHIELDIND.
MN
05
838720600
MN
Enumeration date
08/30/2006
Last updated
11/06/2017
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