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1972098440
BREA WALLAKER
GRAND RAPIDS, MN
NPI
1972098440
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 23429)
Enumeration Date
2018-06-27
Last Update Date
2018-06-27
Business Address
BREA WALLAKER
215 SE 2ND AVE
GRAND RAPIDS, MN 55744-3615
Phone number: 218-326-1274
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Mailing Address
BREA WALLAKER
916 LA PRAIRIE AVE
GRAND RAPIDS, MN 55744-3319
Phone number: 218-600-7218
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