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1003156761
BLYTHE ELLEN NELSON
COON RAPIDS, MN
NPI
1003156761
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 20794)
Enumeration Date
2013-02-18
Last Update Date
2022-06-30
Business Address
BLYTHE ELLEN NELSON LICSW
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433-5841
Phone number: 763-780-9155
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Mailing Address
BLYTHE ELLEN NELSON LICSW
2925 CHICAGO AVE
MINNEAPOLIS, MN 55407-1321
Phone number: 612-262-9000
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