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1346004207
LILAH VANG
WOODBURY, MN
NPI
1346004207
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-02-12
Last Update Date
2024-02-12
Business Address
LILAH VANG LADC, BS
1811 WEIR DR STE 270
WOODBURY, MN 55125-6741
Phone number: 651-243-6072
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Mailing Address
LILAH VANG LADC, BS
5192 360TH ST
NORTH BRANCH, MN 55056-5501
Phone number: 651-404-0267
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