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Individual

EMILY ELIZABETH BADE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3490 LEXINGTON AVE. N, SUITE 205, SHOREVIEW, MN 55126
(651) 486-3808
(651) 486-3858
Mailing address
3490 LEXINGTON AVE. N, SUITE 205, SHOREVIEW, MN 55126
(651) 486-3808
(651) 486-3858

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
21853
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
355385800
MN
Enumeration date
08/24/2015
Last updated
08/24/2015
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