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1881221174
DALE BOTHUN
SAINT PAUL, MN
NPI
1881221174
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 24553)
Enumeration Date
2020-03-25
Last Update Date
2020-03-25
Business Address
DALE BOTHUN LICSW
570 ASBURY ST STE 300
SAINT PAUL, MN 55104-1851
Phone number: 651-644-8515
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Mailing Address
DALE BOTHUN LICSW
570 ASBURY ST STE 300
SAINT PAUL, MN 55104-1851
Phone number: 651-644-8515
Copy
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