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1427664549
MISTY JEANNE COONAN
SAINT PAUL, MN
NPI
1427664549
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 305416)
Enumeration Date
2020-09-23
Last Update Date
2020-09-23
Business Address
MISTY JEANNE COONAN MA, LADC
1246 UNIVERSITY AVE W
SAINT PAUL, MN 55104-4125
Phone number: 651-333-4855
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Mailing Address
MISTY JEANNE COONAN MA, LADC
1246 UNIVERSITY AVE W
SAINT PAUL, MN 55104-4125
Phone number: 651-333-4855
Copy
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