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Individual

ALBERTINE LARA SHAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW LICSW

Contact information

Practice address
333 WASHINGTON AVE N STE 500, MINNEAPOLIS, MN 55401-1331
(612) 888-0897
Mailing address
2006 S 6TH ST, MINNEAPOLIS, MN 55454-1335
(609) 610-8343

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
28662
MN

Other

Enumeration date
08/11/2022
Last updated
08/11/2022
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