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1578288403
JENNIFER CONNOLLY
COON RAPIDS, MN
NPI
1578288403
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 305835)
Enumeration Date
2022-10-04
Last Update Date
2022-10-04
Business Address
JENNIFER CONNOLLY LADC
11660 ROUND LAKE BLVD NW
COON RAPIDS, MN 55433-2638
Phone number: 763-767-3350
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Mailing Address
JENNIFER CONNOLLY LADC
11452 KENYON CT NE
BLAINE, MN 55449-5480
Phone number: 612-272-7953
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