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1346601804
COLETTE MAUREEN BISANZ-HAAS
BLOOMINGTON, MN
NPI
1346601804
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 1077449-2CDT)
Enumeration Date
2016-03-11
Last Update Date
2016-03-11
Business Address
-- COLETTE MAUREEN BISANZ-HAAS MA, LADC
9301 BRYANT AVE S STE 107
BLOOMINGTON, MN 55420-3438
Phone number: 952-562-3740
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Mailing Address
-- COLETTE MAUREEN BISANZ-HAAS MA, LADC
9301 BRYANT AVE S
BLOOMINGTON, MN 55420-3436
Phone number: 952-562-3740
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