Provider First Line Business Practice Location Address:
7040 LAKELAND AVE NORTH
Provider Second Line Business Practice Location Address:
#208 PARSONS PSYCHOLOGICAL SERVICES, LLC
Provider Business Practice Location Address City Name:
BROOKLYN PARK
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55428
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
763-566-1174
Provider Business Practice Location Address Fax Number:
763-503-4692
Provider Enumeration Date:
07/17/2006