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1881213395
J NIVA CAPECCHI-NGUYEN
ST LOUIS PARK, MN
NPI
1881213395
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Former Name
JASON MARK CAPECCHI
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 26667)
Enumeration Date
2020-04-14
Last Update Date
2020-04-14
Business Address
J NIVA CAPECCHI-NGUYEN MSW, LICSW
4027 COUNTY ROAD 25
ST LOUIS PARK, MN 55416-2629
Phone number: 612-925-6033
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Mailing Address
J NIVA CAPECCHI-NGUYEN MSW, LICSW
4240 PARK GLEN RD
ST LOUIS PARK, MN 55416-5427
Phone number: 612-925-6033
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