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1033325287
COLLEEN MACKAY
GRAND RAPIDS, MN
NPI
1033325287
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 300382 (LADC))
Enumeration Date
2007-05-15
Last Update Date
2007-07-08
Business Address
-- COLLEEN MACKAY LADC
1215 SE 7TH AVE
GRAND RAPIDS, MN 55744-4201
Phone number: 218-313-1315
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Mailing Address
-- COLLEEN MACKAY LADC
1215 SE 7TH AVE
GRAND RAPIDS, MN 55744-4201
Phone number:
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