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Individual

LENAYE ANNETTE FOX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSWLICSW

Contact information

Practice address
2100 WILSON AVE, SAINT PAUL, MN 55119-4034
(651) 771-1301
(651) 771-2542
Mailing address
2100 WILSON AVE, SAINT PAUL, MN 55119-4034
(651) 771-1301
(651) 771-2542

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10465
MN

Other

Enumeration date
12/03/2007
Last updated
12/03/2007
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