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1285970004
LYNN HEIDEMANN
BLAINE, MN
NPI
1285970004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 22097)
Enumeration Date
2012-12-26
Last Update Date
2023-04-06
Business Address
LYNN HEIDEMANN LICSW
11870 ULYSSES ST NE STE 200
BLAINE, MN 55434-4193
Phone number: 763-482-9598
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Mailing Address
LYNN HEIDEMANN LICSW
2915 123RD CIR NE
BLAINE, MN 55449-5878
Phone number: 612-790-3402
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