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Mr. JOEL T BAKKEN MS LP

Individual Provider (NPI-1) Active

Psychologist

Provider Information

NPI Number
1497849509
Provider Type
Individual Provider (NPI-1)
Credentials
MS LP
Status
Active

Contact & Location

Address
1547 30TH AVE S, MOORHEAD, MN, 565605149
Phone
(218) 287-4338
Fax
(218) 287-5928

Specialties & Taxonomies

Psychologist Primary License: MN #LP0872

All Addresses

LOCATION

1547 30TH AVE S

MOORHEAD, MN, 565605149

(218) 287-4338

MAILING

1547 30TH AVE S

MOORHEAD, MN, 565605149

(218) 287-4338