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1134314982
LISA N HOOGHEEM
SAINT PAUL, MN
NPI
1134314982
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 302133)
Enumeration Date
2007-09-13
Last Update Date
2007-09-13
Business Address
Ms. LISA N HOOGHEEM MA, LADC
219 ROBIE ST E
SAINT PAUL, MN 55107-2325
Phone number: 612-275-6982
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Mailing Address
Ms. LISA N HOOGHEEM MA, LADC
219 ROBIE ST E
SAINT PAUL, MN 55107-2325
Phone number: 612-275-6982
Copy
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