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Individual

JULIE C RECORDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
1200 MARQUETTE AVE, MINNEAPOLIS, MN 55403-2419
(612) 790-9029
(612) 503-1980
Mailing address
3395 PLYMOUTH RD, MINNETONKA, MN 55305-3633
(952) 548-8657

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
25565
MN

Other

Enumeration date
09/16/2021
Last updated
09/16/2021
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