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1780776989
LAUREN WILSON NIETZ
MINNEAPOLIS, MN
NPI
1780776989
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: MN 16009)
Enumeration Date
2006-09-28
Last Update Date
2007-07-08
Business Address
LAUREN WILSON NIETZ LICSW
2430 NICOLLET AVE
MINNEAPOLIS, MN 55404-3461
Phone number: 612-871-1454
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Mailing Address
LAUREN WILSON NIETZ LICSW
2122 KNAPP ST
SAINT PAUL, MN 55108-1813
Phone number: 612-871-1454
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