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1609340025
MAHLON MICHAEL MACE
MARSHALL, MN
NPI
1609340025
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 30196)
Enumeration Date
2019-01-18
Last Update Date
2019-01-18
Business Address
MAHLON MICHAEL MACE LADC
1212 E COLLEGE DR
MARSHALL, MN 56258-2010
Phone number: 507-532-3236
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Mailing Address
MAHLON MICHAEL MACE LADC
1212 E COLLEGE DR
MARSHALL, MN 56258-2010
Phone number: 507-532-3236
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