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1124894936
STEPHEN PAUL MONTRY
COON RAPIDS, MN
NPI
1124894936
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MN 304345)
Enumeration Date
2023-12-01
Last Update Date
2023-12-01
Business Address
MR. STEPHEN PAUL MONTRY LADC
11660 ROUND LAKE BLVD NW
COON RAPIDS, MN 55433-2638
Phone number: 763-767-3350
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Mailing Address
MR. STEPHEN PAUL MONTRY LADC
3335 SCOTT AVE N
GOLDEN VALLEY, MN 55422-2747
Phone number: 612-404-5471
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