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1619936739
MICHAEL RICHARD ANDERSON
CROOKSTON, MN
NPI
1619936739
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 12676)
Enumeration Date
2006-03-18
Last Update Date
2007-07-08
Business Address
Mr. MICHAEL RICHARD ANDERSON LICSW
603 BRUCE ST
CROOKSTON, MN 56716
Phone number: 218-281-3940
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Mailing Address
Mr. MICHAEL RICHARD ANDERSON LICSW
603 BRUCE ST PO BOX 603
CROOKSTON, MN 56716-0603
Phone number: 218-281-3940
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