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1073285870
KATIE JEANNE SMITH
MINNEAPOLIS, MN
NPI
1073285870
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-09-30
Last Update Date
2021-09-30
Business Address
KATIE JEANNE SMITH MA, LADC
2217 NICOLLET AVE
MINNEAPOLIS, MN 55404-3382
Phone number: 612-767-0319
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Mailing Address
KATIE JEANNE SMITH MA, LADC
10450 GRAND OAKS TRL
WOODBURY, MN 55129-4241
Phone number: 507-381-8165
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