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1073001889
KALLIE JOY BENNETT
BURNSVILLE, MN
NPI
1073001889
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Former Name
KALLIE JOY TRUTNAU
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 28361)
Enumeration Date
2018-04-26
Last Update Date
2023-05-31
Business Address
KALLIE JOY BENNETT
14301 EWING AVE S
BURNSVILLE, MN 55306-4885
Phone number: 952-746-5350
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Mailing Address
KALLIE JOY BENNETT
200 4TH AVE W
SHAKOPEE, MN 55379-1220
Phone number: 952-496-8481
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