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1134507593
LISA BONAHOOM
ST LOUIS PARK, MN
NPI
1134507593
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: MN 3111)
Enumeration Date
2015-05-18
Last Update Date
2015-05-18
Business Address
LISA BONAHOOM LMFT
3525 MONTEREY DR
ST LOUIS PARK, MN 55416-5275
Phone number: 952-993-6200
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Mailing Address
LISA BONAHOOM LMFT
2436 STEVENS AVE
MINNEAPOLIS, MN 55404-3529
Phone number: 952-240-9404
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