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1396265310
DANITA RACHEL BERRY
BURNSVILLE, MN
NPI
1396265310
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MN 302686)
Enumeration Date
2017-06-21
Last Update Date
2018-03-17
Business Address
DANITA RACHEL BERRY LADC
1517 HIGHWAY 13 E
BURNSVILLE, MN 55337-2917
Phone number: 952-890-8879
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Mailing Address
DANITA RACHEL BERRY LADC
1517 HIGHWAY 13 E
BURNSVILLE, MN 55337-2917
Phone number: 952-890-8879
Copy
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