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1366914392
SUSAN MARIE CONNOLLY
MONTGOMERY, MN
NPI
1366914392
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 301422)
Enumeration Date
2019-01-02
Last Update Date
2022-08-02
Business Address
SUSAN MARIE CONNOLLY LADC
32298 STATE HIGHWAY 13
MONTGOMERY, MN 56069-4348
Phone number: 507-364-5312
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Mailing Address
SUSAN MARIE CONNOLLY LADC
32298 STATE HIGHWAY 13
MONTGOMERY, MN 56069-4348
Phone number: 507-364-5312
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