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1881678928
MAUREEN TANIS
SHAKOPEE, MN
NPI
1881678928
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 8690)
Enumeration Date
2005-12-02
Last Update Date
2018-03-17
Business Address
MAUREEN TANIS LICSW
1415 SAINT FRANCIS AVE
SHAKOPEE, MN 55379-3374
Phone number: 952-993-7750
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Mailing Address
MAUREEN TANIS LICSW
8170 33RD AVE S # MS 21110Q
BLOOMINGTON, MN 55425-4516
Phone number:
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