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1033742119
KATHERINE CAROL LOGEAIS HISSAM
SAINT CLOUD, MN
NPI
1033742119
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 22416)
Enumeration Date
2020-02-18
Last Update Date
2020-02-18
Business Address
KATHERINE CAROL LOGEAIS HISSAM LICSW
4801 VETERANS DR
SAINT CLOUD, MN 56303-2015
Phone number: 320-252-1670
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Mailing Address
KATHERINE CAROL LOGEAIS HISSAM LICSW
4801 VETERANS DR
SAINT CLOUD, MN 56303-2015
Phone number: 320-252-1670
Copy
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