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1174531982
JOHN CASSIDY
STILLWATER, MN
NPI
1174531982
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 300491)
Enumeration Date
2006-08-04
Last Update Date
2007-07-08
Business Address
-- JOHN CASSIDY LADC
375 ORLEANS ST E
STILLWATER, MN 55082-5830
Phone number: 651-430-2720
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Mailing Address
-- JOHN CASSIDY LADC
7066 STILLWATER BLVD N
OAKDALE, MN 55128-3937
Phone number: 651-777-5222
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