Individual
MS. DEBORAH JEAN CLEMMENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.EQ.
Contact information
Practice address
10520 WAYZATA BLVD, WOODSIDE OFFICE PARK, MINNETONKA, MN 55305-1511
(952) 767-0190
(952) 544-3401
Mailing address
3525 IRVING AVE S, MINNEAPOLIS, MN 55408-3325
(612) 827-0759
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
LP2635
MN
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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