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1659514503
LISA VAN TASSELL
ELK RIVER, MN
NPI
1659514503
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MN LPC00537)
Enumeration Date
2009-04-08
Last Update Date
2009-04-08
Business Address
-- LISA VAN TASSELL MA, LPC
9075 QUADAY AVE NE SUITE 102
ELK RIVER, MN 55330-6672
Phone number: 763-746-9492
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Mailing Address
-- LISA VAN TASSELL MA, LPC
1900 SILVER LAKE RD NW SUITE 110
NEW BRIGHTON, MN 55112-1786
Phone number:
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