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1720326440
BRENDAN C SHANE
GOLDEN VALLEY, MN
NPI
1720326440
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 13192)
Enumeration Date
2013-01-30
Last Update Date
2013-01-30
Business Address
-- BRENDAN C SHANE MSW, LICSW
7575 GOLDEN VALLEY RD
GOLDEN VALLEY, MN 55427-4562
Phone number: 952-334-9390
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Mailing Address
-- BRENDAN C SHANE MSW, LICSW
6513 CREEK DR
EDINA, MN 55439-1207
Phone number: 952-983-0216
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