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1275032690
GAIL MATTOCKS
SAINT CLOUD, MN
NPI
1275032690
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 302584)
Enumeration Date
2018-02-12
Last Update Date
2018-02-12
Business Address
GAIL MATTOCKS LADC
713 ANDERSON AVE
SAINT CLOUD, MN 56303-2048
Phone number: 320-229-3760
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Mailing Address
GAIL MATTOCKS LADC
1406 6TH AVE N
SAINT CLOUD, MN 56303-1900
Phone number: 320-251-2700
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