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1306015284
SANDRA LOUISE CLARK
SAINT PAUL, MN
NPI
1306015284
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 301712)
Enumeration Date
2008-02-26
Last Update Date
2008-02-26
Business Address
-- SANDRA LOUISE CLARK NCACII, LADC, CCJP
1885 UNIVERSITY AVE W SUITE 20
SAINT PAUL, MN 55104-3489
Phone number: 651-373-0152
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Mailing Address
-- SANDRA LOUISE CLARK NCACII, LADC, CCJP
1885 UNIVERSITY AVE W SUITE 20
SAINT PAUL, MN 55104-3489
Phone number: 651-373-0152
Copy
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