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1104690163
MELISSA BENNETT
ST LOUIS PARK, MN
NPI
1104690163
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2023-11-09
Last Update Date
2023-12-18
Business Address
MELISSA BENNETT LGSW
7601 WAYZATA BLVD
ST LOUIS PARK, MN 55426-1623
Phone number: 612-223-8898
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Mailing Address
MELISSA BENNETT LGSW
1172 HIGHVIEW DR
NEW BRIGHTON, MN 55112-2417
Phone number: 507-210-6959
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