LYNN MARIE FAGEN MOORE

CHISAGO CITY, MN
NPI1245519388
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  302220)
Enumeration Date2011-08-08
Last Update Date2011-08-08
Business Address
-- LYNN MARIE FAGEN MOORE
11720 256TH ST
CHISAGO CITY, MN 55013-9752
Phone number: 651-257-4159
Mailing Address
-- LYNN MARIE FAGEN MOORE
11720 256TH ST
CHISAGO CITY, MN 55013-9752
Phone number:
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