MARK CHARLES LIGHTNER

MAPLEWOOD, MN
NPI1053585018
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2008-04-21
Last Update Date2008-04-21
Business Address
-- MARK CHARLES LIGHTNER B.A.
2115 COUNTY ROAD D E # B
MAPLEWOOD, MN 55109-5353
Phone number: 651-748-5019
Mailing Address
-- MARK CHARLES LIGHTNER B.A.
2115 COUNTY ROAD D E # B
MAPLEWOOD, MN 55109-5353
Phone number: 651-748-5019
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