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1336795640
LUCAS MITZEL
FARGO, ND
NPI
1336795640
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ND 5131)
Enumeration Date
2019-08-13
Last Update Date
2019-08-13
Business Address
LUCAS MITZEL LCSW
7151 15TH ST S
FARGO, ND 58104-6613
Phone number: 701-237-3123
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Mailing Address
LUCAS MITZEL LCSW
PO BOX 5007
MINOT, ND 58702-5007
Phone number: 701-237-3123
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