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1487058020
MELISSA LANGEWISCH
COON RAPIDS, MN
NPI
1487058020
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MN 303737)
Enumeration Date
2014-10-10
Last Update Date
2014-10-23
Business Address
MELISSA LANGEWISCH BAS, LADC
3833 COON RAPIDS BLVD NW STE 120
COON RAPIDS, MN 55433-2599
Phone number: 763-767-3350
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Mailing Address
MELISSA LANGEWISCH BAS, LADC
1900 SILVER LAKE RD NW #110
NEW BRIGHTON, MN 55112
Phone number: 651-379-1718
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