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1629190814
SUSAN MARIE BANAL
ST LOUIS PARK, MN
NPI
1629190814
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 9380)
Enumeration Date
2007-04-06
Last Update Date
2017-04-19
Business Address
-- SUSAN MARIE BANAL LICSW
5821 CEDAR LAKE RD S
ST LOUIS PARK, MN 55416-1487
Phone number: 651-647-1900
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Mailing Address
-- SUSAN MARIE BANAL LICSW
4502 TIMBER WOODS LN
MINNETONKA, MN 55345-2973
Phone number:
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