Graceman, Judith Lynn

Graceman, Judith Lynn is an individual health care provider with primary practice located at 6458 City West Pkwy , Eden Prairie MN 55344-3245. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Graceman, Judith Lynn can be contacted via phone (952) 767-5900.

Contact Information

Primary practice address
6458 City West Pkwy Eden Prairie MN 55344-3245
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP6024 Minnesota

Profile Details

NPI number 1942750575
LBN Legal business name Graceman, Judith Lynn
Credentials L.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2016
Last updated Oct 6th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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