COLLIN ROSS MODAHL

ALEXANDRIA, MN
NPI1184260812
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: MN  LP6478)
Enumeration Date2019-11-18
Last Update Date2019-11-18
Business Address
Dr. COLLIN ROSS MODAHL LP
324 BROADWAY ST STE 206
ALEXANDRIA, MN 56308-1482
Phone number: 320-762-1762
Mailing Address
Dr. COLLIN ROSS MODAHL LP
324 BROADWAY ST STE 206
ALEXANDRIA, MN 56308-1482
Phone number: 320-762-1762