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1699302273
SAMANTHA VITIELLO
SAINT PAUL, MN
NPI
1699302273
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MN 304915)
Enumeration Date
2020-03-24
Last Update Date
2020-03-27
Business Address
SAMANTHA VITIELLO MA, LADC
640 JACKSON ST
SAINT PAUL, MN 55101-2502
Phone number: 651-254-4786
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Mailing Address
SAMANTHA VITIELLO MA, LADC
445 ETNA ST
SAINT PAUL, MN 55106-5857
Phone number: 651-254-4804
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