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Individual

MR. STEVEN GERARD LANZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, LISW

Contact information

Practice address
1406 6TH AVE N, SAINT CLOUD, MN 56303
(320) 251-2700
Mailing address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1901
(320) 251-2700

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12669
MN

Other

Enumeration date
07/09/2018
Last updated
07/09/2018
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