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1063579936
KATELYN MARIAH
BROOKLYN PARK, MN
NPI
1063579936
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 07301)
Enumeration Date
2007-01-02
Last Update Date
2007-07-08
Business Address
Ms. KATELYN MARIAH M.A, LICSW
7600 BOONE AVE N
BROOKLYN PARK, MN 55428-4563
Phone number: 763-515-2452
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Mailing Address
Ms. KATELYN MARIAH M.A, LICSW
1641 HAGUE AVE
SAINT PAUL, MN 55104-6236
Phone number: 651-646-8306
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