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1215318811
MARK ZACZKOWSKI MOORHEAD
MINNEAPOLIS, MN
NPI
1215318811
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Former Name
MARK ZACZKOWSKI
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 22176)
Enumeration Date
2015-06-09
Last Update Date
2019-11-20
Business Address
MARK ZACZKOWSKI MOORHEAD MSW, LICSW
2400 BLAISDELL AVE
MINNEAPOLIS, MN 55404
Phone number: 612-444-6090
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Mailing Address
MARK ZACZKOWSKI MOORHEAD MSW, LICSW
2400 BLAISDELL AVE
MINNEAPOLIS, MN 55404-3331
Phone number: 612-444-6090
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