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1811026123
PSYCHOLOGICAL&BEHAVIORALCONSULTANTSPA
WHITE BEAR LAKE, MN
NPI
1811026123
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Entity Type
Organization
Authorized Contact
W S BALCERZAK
CEO
651-227-8880
Organization Subpart ?
No
Primary Taxonomy
103T00000X Psychologist
Enumeration Date
2007-03-04
Last Update Date
2013-02-24
Business Address
PSYCHOLOGICAL&BEHAVIORALCONSULTANTSPA
2186 3RD ST SUITE 105
WHITE BEAR LAKE, MN 55110-3263
Phone number: 651-227-8880
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Mailing Address
PSYCHOLOGICAL&BEHAVIORALCONSULTANTSPA
2186 3RD ST SUITE 105
WHITE BEAR LAKE, MN 55110-3263
Phone number: 651-227-8880
Copy
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