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1548094147
CONNIE MARIE BACKSTROM
LAKEVILLE, MN
NPI
1548094147
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: MN 4383)
Enumeration Date
2024-08-27
Last Update Date
2024-08-27
Business Address
CONNIE MARIE BACKSTROM LMFT
7580 160TH ST W
LAKEVILLE, MN 55044-8348
Phone number: 952-898-1133
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Mailing Address
CONNIE MARIE BACKSTROM LMFT
8060 250TH ST E
HAMPTON, MN 55031-9634
Phone number: 612-251-2518
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