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1437560836
ALLISA PROKOPANKO
EDEN PRAIRIE, MN
NPI
1437560836
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 20444)
Enumeration Date
2014-05-19
Last Update Date
2014-05-19
Business Address
-- ALLISA PROKOPANKO MSW, LICSW
6458 CITY WEST PKWY
EDEN PRAIRIE, MN 55344-3245
Phone number: 952-767-6791
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Mailing Address
-- ALLISA PROKOPANKO MSW, LICSW
5253 BEARD AVE S
MINNEAPOLIS, MN 55410-2117
Phone number: 952-607-7632
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