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General NPI Number Information
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NPI Number | 1295545952
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Entity Type | Organization
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Legal Business Name | SERENE STEPPING STONES LPPC
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Dates
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Enumeration Date | 01/13/2025
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 3503 HIGHPOINT DR N BLDG 3
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City | OAKDALE
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State | MN
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Zip | 55128-7577
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Country | US
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Telephone | 651-815-5064
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Fax |
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Provider Business Mailing Address
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Address Line | 9149 HAMLET AVE S
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City | COTTAGE GROVE
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State | MN
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Zip | 55016-3965
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Country | US
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Telephone | 651-815-5064
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH PROFESSIONAL
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Name | MRS. SERENA A VRUNO
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Credential | LICSW
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Telephone | 651-815-5064
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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