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1881006880
KENT KODALEN
MINNEAPOLIS, MN
NPI
1881006880
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: MN 5742)
Enumeration Date
2014-05-24
Last Update Date
2014-05-24
Business Address
Dr. KENT KODALEN Ph.D.
2525 CHICAGO AVE MAIL STOP 17-217
MINNEAPOLIS, MN 55404-4518
Phone number: 612-813-7042
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Mailing Address
Dr. KENT KODALEN Ph.D.
2525 CHICAGO AVE MAIL STOP 17-217
MINNEAPOLIS, MN 55404-4518
Phone number: 612-813-7042
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