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1619990793
GARY GOOLSBEE
FOREST LAKE, MN
NPI
1619990793
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 00593)
Enumeration Date
2006-07-26
Last Update Date
2007-07-08
Business Address
-- GARY GOOLSBEE LICSW
121 11TH AVE SE
FOREST LAKE, MN 55025-1850
Phone number: 651-251-5220
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Mailing Address
-- GARY GOOLSBEE LICSW
7066 STILLWATER BLVD N
OAKDALE, MN 55128-3937
Phone number: 651-777-5222
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