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1184899270
TAMMY JON FROST JOHNSON
NEW BRIGHTON, MN
NPI
1184899270
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 302339)
Enumeration Date
2008-04-29
Last Update Date
2008-04-29
Business Address
-- TAMMY JON FROST JOHNSON LADC
1405 SILVER LAKE RD NW
NEW BRIGHTON, MN 55112-9301
Phone number: 651-633-4532
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Mailing Address
-- TAMMY JON FROST JOHNSON LADC
1405 SILVER LAKE RD NW
NEW BRIGHTON, MN 55112-9301
Phone number: 651-633-4532
Copy
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