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1124677372
ANDREA SUSAN KOFOED
SAINT PAUL, MN
NPI
1124677372
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 302371)
Enumeration Date
2019-09-10
Last Update Date
2019-09-10
Business Address
Ms. ANDREA SUSAN KOFOED LADC
135 COLORADO ST E
SAINT PAUL, MN 55107-2244
Phone number: 612-454-3353
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Mailing Address
Ms. ANDREA SUSAN KOFOED LADC
135 COLORADO ST E
SAINT PAUL, MN 55107-2244
Phone number: 651-528-1930
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