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1972554111
TIMOTHY LEE CAMMACK
GOLDEN VALLEY, MN
NPI
1972554111
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: MN 06687)
Enumeration Date
2006-05-12
Last Update Date
2007-07-08
Business Address
TIMOTHY LEE CAMMACK LICSW
3915 GOLDEN VALLEY ROAD COURAGE CENTER
GOLDEN VALLEY, MN 55422-4298
Phone number: 763-520-0645
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Mailing Address
TIMOTHY LEE CAMMACK LICSW
3915 GOLDEN VALLEY ROAD COURAGE CENTER
GOLDEN VALLEY, MN 55422-4298
Phone number: 763-520-0645
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