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1356773386
AMANDA ROSE DEGREE
WOODBURY, MN
NPI
1356773386
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 303285)
Enumeration Date
2013-08-01
Last Update Date
2013-08-01
Business Address
-- AMANDA ROSE DEGREE LADC
1811 WEIR DR SUITE 270
WOODBURY, MN 55125-2272
Phone number: 651-714-9646
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Mailing Address
-- AMANDA ROSE DEGREE LADC
1900 SILVER LAKE RD NW SUITE 110
NEW BRIGHTON, MN 55112-1786
Phone number: 651-628-9566
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