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1124690060
CAROLYNN M NELSON
FOREST LAKE, MN
NPI
1124690060
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 304687)
Enumeration Date
2021-07-12
Last Update Date
2021-07-12
Business Address
CAROLYNN M NELSON LADC
20 LAKE ST N STE 210
FOREST LAKE, MN 55025-2511
Phone number: 612-672-1502
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Mailing Address
CAROLYNN M NELSON LADC
825 10TH AVE SW
FOREST LAKE, MN 55025-3740
Phone number: 651-230-6344
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