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1023377488
LAKE VICTORIA MENTAL HEALTH SERVICES, PC
MINNEAPOLIS, MN
NPI
1023377488
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Entity Type
Organization
Authorized Contact
ZACHARY OLSON
Owner, Director, Psychotherapist
651-724-0497
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2012-05-04
Last Update Date
2013-04-08
Business Address
LAKE VICTORIA MENTAL HEALTH SERVICES, PC
3405 CHICAGO AVE
MINNEAPOLIS, MN 55407-2107
Phone number: 651-724-0497
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Mailing Address
LAKE VICTORIA MENTAL HEALTH SERVICES, PC
978 DAYTON AVE
SAINT PAUL, MN 55104-6544
Phone number:
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