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1245977909
CHAD SHELSO
EDEN PRAIRIE, MN
NPI
1245977909
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-05-15
Last Update Date
2022-09-11
Business Address
CHAD SHELSO LADC
11010 PRAIRIE LAKES DR STE 350
EDEN PRAIRIE, MN 55344-3801
Phone number: 952-746-2522
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Mailing Address
CHAD SHELSO LADC
11010 PRAIRIE LAKES DR STE 350
EDEN PRAIRIE, MN 55344-3801
Phone number: 952-746-2522
Copy
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