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1134630932
COURTNEY DENISE MIKE
APPLE VALLEY, MN
NPI
1134630932
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-10-19
Last Update Date
2017-10-19
Business Address
COURTNEY DENISE MIKE
7300 147TH ST W
APPLE VALLEY, MN 55124-7541
Phone number: 952-997-3020
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Mailing Address
COURTNEY DENISE MIKE
1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON, MN 55112-1789
Phone number:
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