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1707 Miller Trunk Hwy Duluth MN 55811-1880 | |
| (218) 729-6499 | |
| (218) 729-9238 |
| Full Name | |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1707 Miller Trunk Hwy, Duluth, Minnesota |
| Authorized Official Name and Position | Heather L Rose-carlson (OWNER/LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 2187296480 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1707 Miller Trunk Hwy Duluth MN 55811-1880 Ph: (218) 729-6499 | 1707 Miller Trunk Hwy Duluth MN 55811-1880 Ph: (218) 729-6499 |
| NPI Number | 1619143187 |
|---|---|
| Provider Enumeration Date | 05/05/2008 |
| Last Update Date | 05/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619143187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | LP4906 (Minnesota) | Primary |
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