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1609025659
JILL M LAVELLE
FARGO, ND
NPI
1609025659
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: ND ND1439)
Enumeration Date
2008-09-15
Last Update Date
2008-09-15
Business Address
MS. JILL M LAVELLE M.ED. LAC
1445 1ST AVE N
FARGO, ND 58102
Phone number: 701-261-3113
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Mailing Address
MS. JILL M LAVELLE M.ED. LAC
1445 1ST AVE N
FARGO, ND 58102
Phone number: 701-261-3113
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