THERESA MARY ALLEN

STILLWATER, MN
NPI1437740354
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  304754)
Enumeration Date2021-02-02
Last Update Date2021-02-02
Business Address
THERESA MARY ALLEN LADC
14949 62ND ST N
STILLWATER, MN 55082-6102
Phone number: 651-430-6617
Mailing Address
THERESA MARY ALLEN LADC
14949 62ND ST N
STILLWATER, MN 55082-6102
Phone number: 651-430-6617