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1295200624
CASSANDRA LEE KOTNIK
VIRGINIA, MN
NPI
1295200624
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Former Name
CASSANDRA LEE VIELE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 19965)
Enumeration Date
2018-10-12
Last Update Date
2018-10-12
Business Address
CASSANDRA LEE KOTNIK MSW, LICSW
624 13TH ST S
VIRGINIA, MN 55792-3149
Phone number: 218-749-2881
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Mailing Address
CASSANDRA LEE KOTNIK MSW, LICSW
PO BOX 1188
VIRGINIA, MN 55792-1188
Phone number: 218-749-2881
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