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1114476660
LORI QUIST
FOREST LAKE, MN
NPI
1114476660
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 303276)
Enumeration Date
2016-09-26
Last Update Date
2016-09-26
Business Address
-- LORI QUIST MA, LADC
555 W BROADWAY AVE
FOREST LAKE, MN 55025-1175
Phone number: 651-251-5225
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Mailing Address
-- LORI QUIST MA, LADC
29207 SCENIC DR
CHISAGO CITY, MN 55013-8516
Phone number: 612-250-1679
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