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1013616242
STEPHANIE IRENE FOOTH
WHITE BEAR LAKE, MN
NPI
1013616242
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-02-27
Last Update Date
2023-02-27
Business Address
STEPHANIE IRENE FOOTH
1011 MEADOWLANDS DR STE 1
WHITE BEAR LAKE, MN 55127-2340
Phone number: 612-445-0300
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Mailing Address
STEPHANIE IRENE FOOTH
1267 11TH AVE SW APT 308
FOREST LAKE, MN 55025-1374
Phone number: 763-283-7192
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