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1205520509
IRENE CALLISTA ABIDE
NEW BRIGHTON, MN
NPI
1205520509
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-06-08
Last Update Date
2023-06-08
Business Address
IRENE CALLISTA ABIDE LADC
1900 SILVER LAKE RD NW
NEW BRIGHTON, MN 55112-1786
Phone number: 651-628-9566
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Mailing Address
IRENE CALLISTA ABIDE LADC
2155 KELLY DR
GOLDEN VALLEY, MN 55427-3517
Phone number: 763-442-2935
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