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1477895985
EDIFY YOUTH
CRYSTAL, MN
NPI
1477895985
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Entity Type
Organization
Authorized Contact
MICHELE BAUER
Administrator
763-567-3136
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2013-03-22
Last Update Date
2013-03-22
Business Address
EDIFY YOUTH
5108 LAKESIDE AVE N
CRYSTAL, MN 55429-3734
Phone number: 612-306-4575
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Mailing Address
EDIFY YOUTH
5108 LAKESIDE AVE N
CRYSTAL, MN 55429-3734
Phone number: 612-306-4575
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