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1538438387
LESLIE ANN SPARKS
MINNEAPOLIS, MN
NPI
1538438387
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 301157)
Enumeration Date
2011-12-23
Last Update Date
2011-12-23
Business Address
-- LESLIE ANN SPARKS LADC
1315 PENN AVE N
MINNEAPOLIS, MN 55411-3047
Phone number: 612-767-9154
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Mailing Address
-- LESLIE ANN SPARKS LADC
1315 PENN AVE N
MINNEAPOLIS, MN 55411-3047
Phone number: 612-767-9154
Copy
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