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THARAKI SIYAGUNA
Clinical Psychologist
NPI: 1821571159IndividualAccepts Medicare
Specialties, Licenses & Credentials
Specialist
Specialist
Code: 174400000X
Clinical PsychologistPrimary
Psychologist — Clinical
Code: 103TC0700X
LP6711(MN)
CMS Specialties
PrimaryCLINICAL PSYCHOLOGIST
Education
OTHER
Class of 2019
Contact & Hours
- Address
- 1547 30TH AVE S
MOORHEAD, MN 56560 - Phone
- (218) 287-4338
Quick Facts
- NPI
- 1821571159
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 7
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