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1366840324
BRENDAN SHANE
GOLDEN VALLEY, MN
NPI
1366840324
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Entity Type
Organization
Authorized Contact
BRENDAN C SHANE
Owner
952-334-9390
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 13192)
Enumeration Date
2014-12-08
Last Update Date
2014-12-08
Business Address
BRENDAN SHANE
7575 GOLDEN VALLEY RD SUITE 370
GOLDEN VALLEY, MN 55427-4562
Phone number: 952-334-9390
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Mailing Address
BRENDAN SHANE
6513 CREEK DR
EDINA, MN 55439-1207
Phone number: 952-334-9390
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