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1215295001
JESSICA R BALTZ
LAKE ELMO, MN
NPI
1215295001
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: MN 1940)
Enumeration Date
2012-04-30
Last Update Date
2019-08-01
Business Address
JESSICA R BALTZ LMFT
3819 LAVERNE AVE N
LAKE ELMO, MN 55042
Phone number: 517-770-2224
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Mailing Address
JESSICA R BALTZ LMFT
3819 LAVERNE AVE N
LAKE ELMO, MN 55042-9629
Phone number: 517-770-2224
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