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Organization

FEDERAL PRISON CAMP DULUTH

Active
Other names
Bureau of Prisons
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TRACI SUE AMUNDSON PSY.D. (CHIEF PSYCHOLOGIST)
(218) 249-7452
Entity
Organization

Contact information

Practice address
4464 RALSTON DR, DULUTH, MN 55811-1519
(218) 249-7452
Mailing address
4464 RALSTON DRIVE, DULUTH, MN 55811-1519
(218) 249-7452

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
11/30/2011
Last updated
11/30/2011
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