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1407619737
CANDACE JEAN BALLSTADT
FARIBAULT, MN
NPI
1407619737
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 20007)
Enumeration Date
2024-01-31
Last Update Date
2024-01-31
Business Address
CANDACE JEAN BALLSTADT LSW
1415 TOWN SQUARE LN
FARIBAULT, MN 55021-6088
Phone number: 507-323-8100
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Mailing Address
CANDACE JEAN BALLSTADT LSW
20325 410TH ST
GOODHUE, MN 55027-7006
Phone number: 651-380-9528
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