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1326655093
SHANE MICHAEL HAMP
WOODBURY, MN
NPI
1326655093
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 27378)
Enumeration Date
2020-09-28
Last Update Date
2020-09-28
Business Address
SHANE MICHAEL HAMP LICSW
1000 RADIO DR STE 210
WOODBURY, MN 55125-8444
Phone number: 651-365-8298
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Mailing Address
SHANE MICHAEL HAMP LICSW
1750 NORFOLK AVE APT 16
SAINT PAUL, MN 55116-3056
Phone number: 651-365-8298
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