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1679636799
LISA MARIE VANBAALEN
DULUTH, MN
NPI
1679636799
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 11744)
Enumeration Date
2006-12-19
Last Update Date
2007-07-08
Business Address
-- LISA MARIE VANBAALEN
400 E 3RD ST
DULUTH, MN 55805-1951
Phone number: 218-786-5944
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Mailing Address
-- LISA MARIE VANBAALEN
400 E 3RD ST
DULUTH, MN 55805-1951
Phone number: 218-786-5944
Copy
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