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1205955978
KIMBERLEY MARIE EDENS
MINNEAPOLIS, MN
NPI
1205955978
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 301386)
Enumeration Date
2007-03-27
Last Update Date
2007-07-08
Business Address
Ms. KIMBERLEY MARIE EDENS LADC
1121 JACKSON ST NE SUITE 105
MINNEAPOLIS, MN 55413-1672
Phone number: 612-236-1705
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Mailing Address
Ms. KIMBERLEY MARIE EDENS LADC
763 2ND ST
HAMMOND, WI 54015-9781
Phone number: 651-270-2123
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