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1013615145
LESLIE ALLENE WISE
MINNEAPOLIS, MN
NPI
1013615145
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MN 3706)
Enumeration Date
2023-02-17
Last Update Date
2023-02-17
Business Address
LESLIE ALLENE WISE MS, LPCC
4027 COUNTY ROAD 25
MINNEAPOLIS, MN 55416-2629
Phone number: 612-925-6033
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Mailing Address
LESLIE ALLENE WISE MS, LPCC
4240 PARK GLEN RD
ST LOUIS PARK, MN 55416-5427
Phone number: 612-925-6033
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