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1134701899
LACEY NICOLE HOUDEK
MINNEAPOLIS, MN
NPI
1134701899
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 27626)
Enumeration Date
2021-04-22
Last Update Date
2021-05-06
Business Address
LACEY NICOLE HOUDEK LICSW
2925 CHICAGO AVE
MINNEAPOLIS, MN 55407-1321
Phone number: 866-603-0016
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Mailing Address
LACEY NICOLE HOUDEK LICSW
PO BOX 43
MINNEAPOLIS, MN 55440-0043
Phone number: 612-262-1166
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