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1154046993
TODD MCGOWAN
HERMANTOWN, MN
NPI
1154046993
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 25586)
Enumeration Date
2022-10-04
Last Update Date
2022-10-04
Business Address
TODD MCGOWAN LICSW
4899 MILLER TRUNK HWY
HERMANTOWN, MN 55811-1582
Phone number: 218-282-7793
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Mailing Address
TODD MCGOWAN LICSW
824 LIBBY CIR
PROCTOR, MN 55810-1717
Phone number: 218-260-7259
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