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1437179611
LISA M BRENNOM
MINNETONKA, MN
NPI
1437179611
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MS 13588)
Enumeration Date
2006-07-20
Last Update Date
2018-05-03
Business Address
LISA M BRENNOM LICSW
3395 PLYMOUTH RD
MINNETONKA, MN 55305-3765
Phone number: 952-939-0396
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Mailing Address
LISA M BRENNOM LICSW
3395 PLYMOUTH RD
MINNETONKA, MN 55305-3765
Phone number: 952-567-9259
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