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Individual

JUSTIN ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW, LICSW

Contact information

Practice address
8550 HUDSON BLVD N, LAKE ELMO, MN 55042-5500
(651) 254-8580
Mailing address
6600 FRANCE AVE S STE 230, EDINA, MN 55435-1810

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
Primary
23615
MN

Other

Enumeration date
08/11/2017
Last updated
04/01/2025
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