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1174095483
ROXANNE KIBBEN
MAPLEWOOD, MN
NPI
1174095483
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 300773)
Enumeration Date
2018-12-27
Last Update Date
2018-12-27
Business Address
Ms. ROXANNE KIBBEN LADC
1695 EDGEMONT ST
MAPLEWOOD, MN 55117-2416
Phone number: 443-822-6747
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Mailing Address
Ms. ROXANNE KIBBEN LADC
1695 EDGEMONT ST
MAPLEWOOD, MN 55117-2416
Phone number: 443-822-6747
Copy
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