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1649035924
TEASHA MARIE LIGHTFOOT
MINNEAPOLIS, MN
NPI
1649035924
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 29945)
Enumeration Date
2024-02-16
Last Update Date
2024-02-16
Business Address
TEASHA MARIE LIGHTFOOT
2525 CHICAGO AVE
MINNEAPOLIS, MN 55404-4518
Phone number: 612-813-6372
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Mailing Address
TEASHA MARIE LIGHTFOOT
951 APGAR ST S
SHAKOPEE, MN 55379-2240
Phone number: 612-225-8615
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