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Search › Minnesota › 103TC1900X

Constance Vandergon, M.S., L.P

NPI 1265522213 · on the registry since 2006

Practice

Address
1930 Coon Rapids Blvd Nw
Coon Rapids, MN 55433
Phone
(763) 427-7964
Fax
(763) 427-7976
Organisation at this address
Genoa Healthcare Llc
Family Life Mental Health Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
36

Additional practice sites

  • 275 4th St E, Saint Paul, MN

Registry record

Primary taxonomy
103TC1900X
103TC1900X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-10-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota