BLAINE ROBERT BOVERHUIS

EDINA, MN
NPI1275210338
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MN  19085)
Enumeration Date2023-06-30
Last Update Date2023-06-30
Business Address
Mr. BLAINE ROBERT BOVERHUIS MSW, LICSW
6401 FRANCE AVE S
EDINA, MN 55435-2104
Phone number: 952-924-2888
Mailing Address
Mr. BLAINE ROBERT BOVERHUIS MSW, LICSW
2509 27TH AVE N
MINNEAPOLIS, MN 55411-1001
Phone number: 651-403-3585
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