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1235613043
SHAIDA VAFAEI
LAKEVILLE, MN
NPI
1235613043
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2018-09-18
Last Update Date
2018-09-18
Business Address
SHAIDA VAFAEI MA
8500 210TH ST W
LAKEVILLE, MN 55044-5707
Phone number: 952-484-2211
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Mailing Address
SHAIDA VAFAEI MA
2801 GIRARD AVE S APT 304
MINNEAPOLIS, MN 55408-2048
Phone number: 952-484-2211
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