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Individual

LEE START

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LICSW, LADC

Contact information

Practice address
2303 WYCLIFF ST STE 315, SAINT PAUL, MN 55114-1272
(651) 419-1086
Mailing address
4332 14TH AVE S, MINNEAPOLIS, MN 55407-3226
(612) 227-5051

Taxonomy

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

Other

Enumeration date
06/23/2020
Last updated
08/04/2025
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