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1821507617
LISANNE BARBARA RACINE
MINNEAPOLIS, MN
NPI
1821507617
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 15170)
Enumeration Date
2017-09-25
Last Update Date
2017-09-25
Business Address
LISANNE BARBARA RACINE LICSW
2525 CHICAGO AVE. SOUTH
MINNEAPOLIS, MN 55404-4518
Phone number: 612-813-6138
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Mailing Address
LISANNE BARBARA RACINE LICSW
13009 HIALEAH PATH
APPLE VALLEY, MN 55124-9787
Phone number: 612-998-5938
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