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1790180503
IRIS SONG
MAPLE GROVE, MN
NPI
1790180503
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MN LP5547)
Enumeration Date
2014-10-23
Last Update Date
2014-10-23
Business Address
-- IRIS SONG Psy.D., L.P.
7979 RANCHVIEW LN N
MAPLE GROVE, MN 55311-2106
Phone number: 612-203-8027
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Mailing Address
-- IRIS SONG Psy.D., L.P.
7979 RANCHVIEW LN N
MAPLE GROVE, MN 55311-2106
Phone number:
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