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1487843355
PAUL LUKE MLADNICK
FOREST LAKE, MN
NPI
1487843355
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: MN 1306)
Enumeration Date
2007-10-17
Last Update Date
2007-10-17
Business Address
Mr. PAUL LUKE MLADNICK LMFT
1068 SO LAKE ST #109
FOREST LAKE, MN 55025
Phone number: 612-719-7966
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Mailing Address
Mr. PAUL LUKE MLADNICK LMFT
1068 SO LAKE ST SUITE 109
FOREST LAKE, MN 55025
Phone number: 612-719-7966
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