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1043778848
LISA L SCHULTZ
MORA, MN
NPI
1043778848
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 305028)
Enumeration Date
2019-03-11
Last Update Date
2019-06-11
Business Address
LISA L SCHULTZ
2031 ROWLAND RD
MORA, MN 55051-7119
Phone number: 320-364-1314
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Mailing Address
LISA L SCHULTZ
2031 ROWLAND RD
MORA, MN 55051-7119
Phone number: 320-364-1314
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