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1417131103
CARL PETER SPORER
SAINT PAUL, MN
NPI
1417131103
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 05957)
Enumeration Date
2007-12-18
Last Update Date
2007-12-18
Business Address
Mr. CARL PETER SPORER LICSW
1919 UNIVERSITY AVE W STE 6
SAINT PAUL, MN 55104-3453
Phone number: 651-641-1555
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Mailing Address
Mr. CARL PETER SPORER LICSW
6901 W 84TH ST APT 363
BLOOMINGTON, MN 55438-3107
Phone number:
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