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CATHY LIANE

>> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1063435543

Individual Registrant:
 CATHY  LIANE 
Gender: F
Sole Proprietor

Location and contact information for practice:
2835 92ND ST SW  PEQUOT LAKES, MN 56472-2009 US
Tel: 218-746-4296  Fax: --

Contact information for business:
PO BOX 68  NISSWA, MN 56468-0068 US
Tel: 218-746-4296  Fax: --

Registration Information:
NPI: 1063435543
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103T00000XBehavioral Health & Social Service Providers
Psychologist

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
UBH MEDICA6201430MN01
BHP111780MN01
UCARE111780MN01
HEALTH PARTNERS103209MN01
BCBS8H059LIMN01
ARAZ801312MN01




HEALTH CARE JOBS MN - Page 1



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