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1952996894
PETER LYLE NOTEBOOM
MINNEAPOLIS, MN
NPI
1952996894
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 27334)
Enumeration Date
2021-03-03
Last Update Date
2021-11-17
Business Address
PETER LYLE NOTEBOOM LICSW
1313 PENN AVE N
MINNEAPOLIS, MN 55411-3047
Phone number: 612-543-2500
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Mailing Address
PETER LYLE NOTEBOOM LICSW
4235 TYLER ST NE
COLUMBIA HEIGHTS, MN 55421-3242
Phone number: 612-741-3762
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