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1063870905
NIKISHA LYNNETTE SIMMONS-MACLIN
COON RAPIDS, MN
NPI
1063870905
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 304191)
Enumeration Date
2016-02-06
Last Update Date
2019-01-30
Business Address
Mrs. NIKISHA LYNNETTE SIMMONS-MACLIN LADC
10026 UNIVERSITY AVE NW STE 103
COON RAPIDS, MN 55448-2213
Phone number: 612-636-9677
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Mailing Address
Mrs. NIKISHA LYNNETTE SIMMONS-MACLIN LADC
10732 ILEX ST NW
COON RAPIDS, MN 55448-6508
Phone number: 612-636-9677
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