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CRYSTAL, MN
NPI1477895985
Entity TypeOrganization
Authorized ContactMICHELE BAUER
Administrator
763-567-3136
Organization Subpart ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2013-03-22
Last Update Date2013-03-22
Business Address
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5108 LAKESIDE AVE N
CRYSTAL, MN 55429-3734
Phone number: 612-306-4575
Mailing Address
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5108 LAKESIDE AVE N
CRYSTAL, MN 55429-3734
Phone number: 612-306-4575