Provider Information for 1790202521
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Ms. LYNN CHRISTINE CRAIG LICSW
Sex: Female
NPI: 1790202521
Last Updated: 2017-08-23
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1790202521 | ||||||||
| Enumeration Date | 2017-08-23 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1522 SHERREN AVE E MAPLEWOOD, MN 55109-2630 United States Phone: 651-283-8884 | Fax:651-293-8982 | ||||||||
| Primary Practice Address | 345 SMITH AVE N SAINT PAUL, MN 55102-2346 United States Phone: 651-220-6000 | Fax: | ||||||||
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