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1689185746
CARLYE KUSSARD
SAINT PAUL, MN
NPI
1689185746
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-10-17
Last Update Date
2017-10-17
Business Address
CARLYE KUSSARD
1145 GRAND AVE
SAINT PAUL, MN 55105-2629
Phone number: 612-257-2391
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Mailing Address
CARLYE KUSSARD
1145 GRAND AVE
SAINT PAUL, MN 55105-2629
Phone number:
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