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1174686216
SUSAN A MEDO
MINNEAPOLIS, MN
NPI
1174686216
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TB0200X Psychologist Cognitive & Behavioral
(Licence: MN LP3998)
Enumeration Date
2006-12-19
Last Update Date
2008-10-17
Business Address
MS. SUSAN A MEDO MA LP
100 W FRANKLIN AVE
MINNEAPOLIS, MN 55404-2433
Phone number: 612-203-8088
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Mailing Address
MS. SUSAN A MEDO MA LP
2530 1ST AVE S #301
MINNEAPOLIS, MN 55404-4341
Phone number: 612-203-8088
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