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1043591506
RACHEL GRANTHAM
PRIOR LAKE, MN
NPI
1043591506
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 301722)
Enumeration Date
2011-08-29
Last Update Date
2011-08-29
Business Address
-- RACHEL GRANTHAM LADC
2330 SIOUX TRL NW
PRIOR LAKE, MN 55372-9077
Phone number: 952-496-6164
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Mailing Address
-- RACHEL GRANTHAM LADC
2330 SIOUX TRL NW
PRIOR LAKE, MN 55372-9077
Phone number:
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