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1700952850
JAMES A HEACOCK
MINNEAPOLIS, MN
NPI
1700952850
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: MN 1350)
Enumeration Date
2006-11-28
Last Update Date
2007-07-08
Business Address
Mr. JAMES A HEACOCK MS, LMFT
3564 MCKINLEY ST NE
MINNEAPOLIS, MN 55418-1511
Phone number: 612-978-1748
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Mailing Address
Mr. JAMES A HEACOCK MS, LMFT
3564 MCKINLEY ST NE
MINNEAPOLIS, MN 55418-1511
Phone number:
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