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1679006084
SARA GREENBAUM
FOREST LAKE, MN
NPI
1679006084
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 303890)
Enumeration Date
2017-04-04
Last Update Date
2017-04-04
Business Address
-- SARA GREENBAUM LADC
555 W BROADWAY AVE
FOREST LAKE, MN 55025-1175
Phone number: 651-251-5229
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Mailing Address
-- SARA GREENBAUM LADC
555 W BROADWAY AVE
FOREST LAKE, MN 55025-1175
Phone number: 651-251-5229
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