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1417220344
SUSAN WHALEN
LAKE ELMO, MN
NPI
1417220344
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 20166)
Enumeration Date
2012-02-23
Last Update Date
2012-02-23
Business Address
-- SUSAN WHALEN LICSW
3394 LAKE ELMO AVE N
LAKE ELMO, MN 55042-4438
Phone number: 651-303-5522
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Mailing Address
-- SUSAN WHALEN LICSW
PO BOX 144 3394 LAKE ELMO AVENUE NORTH
LAKE ELMO, MN 55042-0144
Phone number: 651-303-5522
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