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1265619225
JENNIFER LYNN VOUGHT
PLYMOUTH, MN
NPI
1265619225
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 302010)
Enumeration Date
2008-01-22
Last Update Date
2008-01-22
Business Address
-- JENNIFER LYNN VOUGHT LADC
1145 SHENANDOAH LANE TELESIS ADULT CORRECTION FAC.
PLYMOUTH, MN 55447
Phone number: 612-596-0099
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Mailing Address
-- JENNIFER LYNN VOUGHT LADC
1911 PLEASANT AVE. SOUTH CREATE, INC.
MINNEAPOLIS, MN 55403
Phone number: 612-874-9811
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