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1639835473
ANNETTE PRIDEMORE
EDINA, MN
NPI
1639835473
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Former Name
ANNETTE FATH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 27741)
Enumeration Date
2021-11-16
Last Update Date
2021-11-16
Business Address
ANNETTE PRIDEMORE MSW, LICSW
6363 FRANCE AVE S STE 402
EDINA, MN 55435-2142
Phone number: 612-274-7570
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Mailing Address
ANNETTE PRIDEMORE MSW, LICSW
16077 BAYWOOD LN
EDEN PRAIRIE, MN 55346-2409
Phone number:
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