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1003933532
ALAN M. LISTIAK
MINNEAPOLIS, MN
NPI
1003933532
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 7767)
Enumeration Date
2007-03-22
Last Update Date
2007-07-08
Business Address
Mr. ALAN M. LISTIAK
1516 W LAKE ST SUITE 103
MINNEAPOLIS, MN 55408-2554
Phone number: 612-822-1357
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Mailing Address
Mr. ALAN M. LISTIAK
2712 FREMONT AVE S
MINNEAPOLIS, MN 55408-1122
Phone number: 612-822-1357
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