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1669659520
SONG LOR ANDERSON
CHAMPLIN, MN
NPI
1669659520
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 15521)
Enumeration Date
2008-01-23
Last Update Date
2008-01-23
Business Address
Mrs. SONG LOR ANDERSON LICSW
11205 VIRGINIA AVE N
CHAMPLIN, MN 55316-3765
Phone number: 763-315-1401
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Mailing Address
Mrs. SONG LOR ANDERSON LICSW
11205 VIRGINIA AVE. N.
CHAMPLIN, MN 55316
Phone number: 763-315-1401
Copy
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