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1548326861
PA DER VANG
SAINT PAUL, MN
NPI
1548326861
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 16511)
Enumeration Date
2006-12-29
Last Update Date
2015-12-29
Business Address
Dr. PA DER VANG LICSW
916 RICE ST
SAINT PAUL, MN 55117-5425
Phone number: 651-290-9200
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Mailing Address
Dr. PA DER VANG LICSW
7421 CHESHAM LN
WOODBURY, MN 55125-2726
Phone number: 651-210-9534
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