J Taborn Associates Inc | |
1219 Marquette Ave Suite 80 Minneapolis MN 55403-2488 | |
(612) 338-9012 | |
(612) 338-9020 |
Full Name | J Taborn Associates Inc |
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Speciality | Psychologist |
Location | 1219 Marquette Ave, Minneapolis, Minnesota |
Authorized Official Name and Position | Joyce Taborn Jackson (VICE-PRES./LICENSED PSYCHOLOGIST) |
Authorized Official Contact | 6123389012 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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J Taborn Associates Inc 1219 Marquette Ave Suite 80 Minneapolis MN 55403-2489 Ph: (612) 338-9012 | J Taborn Associates Inc 1219 Marquette Ave Suite 80 Minneapolis MN 55403-2488 Ph: (612) 338-9012 |
NPI Number | 1356525513 |
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Provider Enumeration Date | 12/24/2007 |
Last Update Date | 12/24/2007 |
Identifier | Type | State | Issuer |
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1356525513 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | LP2524 (Minnesota) | Primary |
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