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1083689624
RICHARD ALAN WANDERSEE
COON RAPIDS, MN
NPI
1083689624
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 01593)
Enumeration Date
2006-02-17
Last Update Date
2007-07-08
Business Address
-- RICHARD ALAN WANDERSEE MSW LICSW
11475 ROBINSON DR NW MAIL STOP 32600A
COON RAPIDS, MN 55433-3746
Phone number: 763-754-4600
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Mailing Address
-- RICHARD ALAN WANDERSEE MSW LICSW
8100 34TH AVE S 21110Q
BLOOMINGTON, MN 55425-1672
Phone number: 952-883-5790
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