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1730338013
LISA R JENSEN
SAINT CLOUD, MN
NPI
1730338013
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 11713)
Enumeration Date
2008-09-11
Last Update Date
2016-11-16
Business Address
-- LISA R JENSEN LICSW
600 25TH AVE S SUITE 109
SAINT CLOUD, MN 56301-4841
Phone number: 320-255-0343
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Mailing Address
-- LISA R JENSEN LICSW
600 25TH AVE S SUITE 109
SAINT CLOUD, MN 56301-4841
Phone number: 320-255-0343
Copy
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