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1881792174
MARY ELLEN LOUISE VIDOVIC
WHITE BEAR LAKE, MN
NPI
1881792174
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: MN 9587)
Enumeration Date
2006-09-20
Last Update Date
2008-04-10
Business Address
-- MARY ELLEN LOUISE VIDOVIC LICSW
1310 HIGHWAY 96 E SUITE 200
WHITE BEAR LAKE, MN 55110-3624
Phone number: 651-426-3071
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Mailing Address
-- MARY ELLEN LOUISE VIDOVIC LICSW
1310 HIGHWAY 96 E SUITE 200
WHITE BEAR LAKE, MN 55110-3624
Phone number: 651-426-3071
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