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1174166672
WILLIAMETTA AUGUSTA WELLS
NEW BRIGHTON, MN
NPI
1174166672
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 305143)
Enumeration Date
2019-10-28
Last Update Date
2019-11-04
Business Address
WILLIAMETTA AUGUSTA WELLS BS, LADC
1900 SILVER LAKE RD NW
NEW BRIGHTON, MN 55112-1786
Phone number: 651-628-9566
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Mailing Address
WILLIAMETTA AUGUSTA WELLS BS, LADC
1900 SILVER LAKE RD NW
NEW BRIGHTON, MN 55112-1786
Phone number:
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