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1235640004
JAIME LEISCH
SAINT PAUL, MN
NPI
1235640004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 303428)
Enumeration Date
2017-10-19
Last Update Date
2017-10-19
Business Address
JAIME LEISCH LADC
1123 GRAND AVE
SAINT PAUL, MN 55105-2629
Phone number: 651-262-6236
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Mailing Address
JAIME LEISCH LADC
1123 GRAND AVE
SAINT PAUL, MN 55105-2629
Phone number: 651-262-6236
Copy
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