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1629407689
MARY LOU MATTSON
WOODBURY, MN
NPI
1629407689
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WI 7778-123)
Enumeration Date
2013-11-10
Last Update Date
2013-11-10
Business Address
-- MARY LOU MATTSON LCSW, DBTC
10300 CITY WALK DR UNIT 431
WOODBURY, MN 55129-6953
Phone number: 920-312-1477
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Mailing Address
-- MARY LOU MATTSON LCSW, DBTC
10300 CITY WALK DR UNIT 431
WOODBURY, MN 55129-6953
Phone number: 920-312-1477
Copy
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