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1114379336
ALEXANDRA WYSS
BLOOMINGTON, MN
NPI
1114379336
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 304297)
Enumeration Date
2016-07-12
Last Update Date
2016-08-26
Business Address
-- ALEXANDRA WYSS L.A.D.C.
1101 E 78TH ST 100
BLOOMINGTON, MN 55420-1400
Phone number: 952-854-5034
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Mailing Address
-- ALEXANDRA WYSS L.A.D.C.
1900 SILVER LAKE ROAD NW SUITE 110
NEW BRIGHTON, MN 55112
Phone number: 651-379-1718
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