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1497015812
ELYSSA MARGARET BLACK
MINNETONKA, MN
NPI
1497015812
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: MN 21294-LSW)
Enumeration Date
2012-05-18
Last Update Date
2012-05-18
Business Address
Ms. ELYSSA MARGARET BLACK LSW
3395 PLYMOUTH ROAD ST. DAVID'S CENTER
MINNETONKA, MN 55305-3765
Phone number: 952-939-0396
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Mailing Address
Ms. ELYSSA MARGARET BLACK LSW
3395 PLYMOUTH ROAD
MINNETONKA, MN 55305-3765
Phone number: 952-939-0396
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