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1306960315
DIANE DOCKENDORF OPATZ
SAINT CLOUD, MN
NPI
1306960315
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 1902)
Enumeration Date
2007-03-16
Last Update Date
2012-05-09
Business Address
-- DIANE DOCKENDORF OPATZ LICSW
3333 W DIVISION ST
SAINT CLOUD, MN 56301-4515
Phone number: 320-309-8789
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Mailing Address
-- DIANE DOCKENDORF OPATZ LICSW
823 ALDON DR
SAINT CLOUD, MN 56301-5957
Phone number:
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