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1487169488
ELISSA L HARTWIG
BRAINERD, MN
NPI
1487169488
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 303653)
Enumeration Date
2017-12-12
Last Update Date
2017-12-12
Business Address
ELISSA L HARTWIG LADC
15940 PINE SHORES RD
BRAINERD, MN 56401-5827
Phone number: 218-831-3043
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Mailing Address
ELISSA L HARTWIG LADC
15940 PINE SHORES RD
BRAINERD, MN 56401-5827
Phone number: 218-831-3043
Copy
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