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1104476290
AUDREY GROSSMAN
MINNETONKA, MN
NPI
1104476290
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 301889)
Enumeration Date
2019-09-19
Last Update Date
2019-09-19
Business Address
AUDREY GROSSMAN LADC
13100 WAYZATA BLVD STE 200
MINNETONKA, MN 55305-1810
Phone number: 952-206-2040
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Mailing Address
AUDREY GROSSMAN LADC
1900 SILVER LAKE RD NW
NEW BRIGHTON, MN 55112-1786
Phone number: 952-206-2040
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