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Individual

LARI HACKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
180 GROTTO ST S, SAINT PAUL, MN 55105-3505
(651) 224-1395
Mailing address
2512 17TH AVE N, SAINT PAUL, MN 55109

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
00239
MN
103T00000X
Psychologist
4683
MN

Other

Enumeration date
11/24/2006
Last updated
09/11/2025
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