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1780112532
JOLLENE D LATVALA
GRAND RAPIDS, MN
NPI
1780112532
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 23638)
Enumeration Date
2017-05-24
Last Update Date
2017-05-24
Business Address
JOLLENE D LATVALA LICSW
35382 US HIGHWAY 2
GRAND RAPIDS, MN 55744-4754
Phone number: 218-327-4886
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Mailing Address
JOLLENE D LATVALA LICSW
35382 US HIGHWAY 2
GRAND RAPIDS, MN 55744-4754
Phone number: 1218-327-4886
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