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: