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1083074371
DEREK PROWE LLC
MINNEAPOLIS, MN
NPI
1083074371
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Entity Type
Organization
Authorized Contact
DEREK EVAN PROWE
Owner
612-656-9122
Organization Subpart ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: MN LP5238)
Enumeration Date
2016-02-29
Last Update Date
2016-02-29
Business Address
DEREK PROWE LLC
4749 CHICAGO AVE SUITE 1D
MINNEAPOLIS, MN 55407-3556
Phone number: 612-656-9122
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Mailing Address
DEREK PROWE LLC
4749 CHICAGO AVE SUITE 1D
MINNEAPOLIS, MN 55407-3556
Phone number: 612-656-9122
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