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1720150030
PATRICIA ANNE THACKER
MINNEAPOLIS, MN
NPI
1720150030
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 17199)
Enumeration Date
2006-11-14
Last Update Date
2007-07-09
Business Address
-- PATRICIA ANNE THACKER L.I.C.S.W.
2450 RIVERSIDE AVE SUITE F196
MINNEAPOLIS, MN 55454-1450
Phone number: 612-672-6999
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Mailing Address
-- PATRICIA ANNE THACKER L.I.C.S.W.
15370 YAKIMA ST NW
RAMSEY, MN 55303-4227
Phone number: 763-205-2450
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