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1336412659
PETER HEADLEY DELONG
MINNEAPOLIS, MN
NPI
1336412659
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 19360)
Enumeration Date
2012-02-16
Last Update Date
2019-09-06
Business Address
PETER HEADLEY DELONG LICSW
1600 E LAKE ST # 5
MINNEAPOLIS, MN 55407-1846
Phone number: 763-772-2217
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Mailing Address
PETER HEADLEY DELONG LICSW
1600 E LAKE ST
MINNEAPOLIS, MN 55407-1846
Phone number: 763-772-2217
Copy
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