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1184324683
THOMAS UDENBERG
CLOQUET, MN
NPI
1184324683
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 27394)
Enumeration Date
2023-03-06
Last Update Date
2023-03-06
Business Address
THOMAS UDENBERG LICSW
1003 CLOQUET AVE STE 109
CLOQUET, MN 55720-1694
Phone number: 218-606-1797
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Mailing Address
THOMAS UDENBERG LICSW
324 W SUPERIOR ST
DULUTH, MN 55802-1701
Phone number: 218-606-1797
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