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1316043458
LAKESIDE PSYCHOLOGICAL SERVICES
GRAND RAPIDS, MN
NPI
1316043458
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Entity Type
Organization
Authorized Contact
COREEN ELLEN LAUSENG
Billing Agent
952-935-1961
Organization Subpart ?
No
Primary Taxonomy
103TC1900X Psychologist, Counseling
Enumeration Date
2006-09-16
Last Update Date
2020-08-22
Business Address
LAKESIDE PSYCHOLOGICAL SERVICES
2618 EMERALD DR
GRAND RAPIDS, MN 55744-5060
Phone number: 218-327-9013
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Mailing Address
LAKESIDE PSYCHOLOGICAL SERVICES
2618 EMERALD DR
GRAND RAPIDS, MN 55744-5060
Phone number: 218-327-9013
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