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1558113647
EH TA LAR
ANOKA, MN
NPI
1558113647
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-04-03
Last Update Date
2024-04-03
Business Address
EH TA LAR MSW
1833 3RD AVE
ANOKA, MN 55303-2424
Phone number: 612-924-3807
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Mailing Address
EH TA LAR MSW
1980 GREENBRIER ST
MAPLEWOOD, MN 55117-2216
Phone number: 612-839-0999
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