RANDAL RICHARD STAATS

MINNEAPOLIS, MN
NPI1760572317
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC1900X Psychologist Counseling
(Licence: MN  LP3816)
Enumeration Date2006-10-13
Last Update Date2010-06-30
Business Address
RANDAL RICHARD STAATS
2414 PARK AVE
MINNEAPOLIS, MN 55404-3713
Phone number: 612-879-5362
Mailing Address
RANDAL RICHARD STAATS
2414 PARK AVE
MINNEAPOLIS, MN 55404-3713
Phone number:
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