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1831149145
VICKI J SERUM
BAXTER, MN
NPI
1831149145
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 6699licsw)
Enumeration Date
2006-05-10
Last Update Date
2007-10-30
Business Address
-- VICKI J SERUM ma, licsw
13073 EVERGREEN DR
BAXTER, MN 56425-7443
Phone number: 218-851-3813
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Mailing Address
-- VICKI J SERUM ma, licsw
7352 OJIBWA RD
BRAINERD, MN 56401-7039
Phone number: 218-963-2670
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