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1568918126
JAIME-LYNN MALLORY LAGRAVES
CLOQUET, MN
NPI
1568918126
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Former Name
JAIME LYNN MALLORY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MN 1274)
Enumeration Date
2016-09-01
Last Update Date
2021-09-23
Business Address
JAIME-LYNN MALLORY LAGRAVES MSEd, LPCC
40 11TH ST
CLOQUET, MN 55720-1817
Phone number: 218-879-4559
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Mailing Address
JAIME-LYNN MALLORY LAGRAVES MSEd, LPCC
1401 EAST 1ST STREET
DULUTH, MN 55805
Phone number: 218-728-4491
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