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1952522450
AMANDA LEATHERMAN MACKIE
MANKATO, MN
NPI
1952522450
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: MN 17224)
Enumeration Date
2007-05-01
Last Update Date
2010-07-01
Business Address
AMANDA LEATHERMAN MACKIE LICSW
306 BYRON ST
MANKATO, MN 56001-3846
Phone number: 507-344-3360
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Mailing Address
AMANDA LEATHERMAN MACKIE LICSW
PO BOX 3032
MANKATO, MN 56002-3032
Phone number: 507-344-3360
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