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1518350719
COREY THOMPSON
SAVAGE, MN
NPI
1518350719
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 303349)
Enumeration Date
2015-03-12
Last Update Date
2015-03-12
Business Address
Mr. COREY THOMPSON LADC
7675 MN HWY 13
SAVAGE, MN 55378
Phone number: 952-447-4344
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Mailing Address
Mr. COREY THOMPSON LADC
7975 JUNE AVE N
BROOKLYN PARK, MN 55443-2634
Phone number: 320-841-5549
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