ANNIE MARIE STAFFORD

BLOOMINGTON, MN
NPI1508180316
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  302350)
Enumeration Date2010-03-23
Last Update Date2018-10-23
Business Address
Ms. ANNIE MARIE STAFFORD LADC
1101 E 78TH ST STE 100
BLOOMINGTON, MN 55420-1402
Phone number: 529-854-5034
Mailing Address
Ms. ANNIE MARIE STAFFORD LADC
1900 SILVER LK RD.
NEW BRIGHTON, MN 55112
Phone number: 651-628-9566
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