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1366086290
ELLIOTT ODENDAHL
BLOOMINGTON, MN
NPI
1366086290
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MN 26467)
Enumeration Date
2019-11-04
Last Update Date
2019-11-04
Business Address
Miss ELLIOTT ODENDAHL LGSW
140 W 98TH ST STE 105
BLOOMINGTON, MN 55420-4800
Phone number: 612-849-4792
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Mailing Address
Miss ELLIOTT ODENDAHL LGSW
4346 4TH AVE S
MINNEAPOLIS, MN 55409-2155
Phone number: 612-803-8085
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