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1710526637
SHADLYN C BOURNE
PLYMOUTH, MN
NPI
1710526637
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-12-23
Last Update Date
2019-12-23
Business Address
SHADLYN C BOURNE LPCC
9800 SHELARD PKWY STE 325
PLYMOUTH, MN 55441-6453
Phone number: 763-614-6393
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Mailing Address
SHADLYN C BOURNE LPCC
4007 65TH AVE N
BROOKLYN CENTER, MN 55429-2158
Phone number: 763-614-6393
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