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1689740623
MARILYN A. MATEJKA
JACKSON, MN
NPI
1689740623
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 300459)
Enumeration Date
2006-11-28
Last Update Date
2008-02-28
Business Address
Ms. MARILYN A. MATEJKA L.A.D.C.
308 W ASHLEY ST
JACKSON, MN 56143-1568
Phone number: 507-847-3148
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Mailing Address
Ms. MARILYN A. MATEJKA L.A.D.C.
308 W ASHLEY ST P.O. BOX 143
JACKSON, MN 56143-1568
Phone number: 507-847-3148
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