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1104531458
SHANNON MARTINA RAPALO MEDINA
FRIDLEY, MN
NPI
1104531458
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 26538)
Enumeration Date
2023-01-20
Last Update Date
2023-01-20
Business Address
SHANNON MARTINA RAPALO MEDINA LICSW
5155 E RIVER RD STE 401
FRIDLEY, MN 55421-3777
Phone number: 763-913-9184
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Mailing Address
SHANNON MARTINA RAPALO MEDINA LICSW
7850 ZANE AVE N APT 108
BROOKLYN PARK, MN 55443-3032
Phone number: 612-293-0635
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