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1417374067
JOANNA WALLENBERG
BEMIDJI, MN
NPI
1417374067
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 20629)
Enumeration Date
2014-03-20
Last Update Date
2014-03-20
Business Address
-- JOANNA WALLENBERG LICSW
514 BELTRAMI AVE NW
BEMIDJI, MN 56601-3010
Phone number: 218-444-2845
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Mailing Address
-- JOANNA WALLENBERG LICSW
31795 COUNTY HIGHWAY 50
PARK RAPIDS, MN 56470-4075
Phone number: 218-444-2845
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