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1710526348
DENYAL KIMBER LECLAIRE
EDEN PRAIRIE, MN
NPI
1710526348
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 304918)
Enumeration Date
2019-12-30
Last Update Date
2019-12-30
Business Address
DENYAL KIMBER LECLAIRE LADC
11010 PRAIRIE LAKES DR STE 350
EDEN PRAIRIE, MN 55344-3801
Phone number: 952-746-2522
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Mailing Address
DENYAL KIMBER LECLAIRE LADC
11010 PRAIRIE LAKES DR STE 350
EDEN PRAIRIE, MN 55344-3801
Phone number:
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