MELISSA M PRUDHOMME

MINNEAPOLIS, MN
NPI1730449935
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  302411)
Enumeration Date2012-05-22
Last Update Date2012-05-22
Business Address
-- MELISSA M PRUDHOMME LADC
1132 CENTRAL AVE NE
MINNEAPOLIS, MN 55413-1512
Phone number: 612-902-5932
Mailing Address
-- MELISSA M PRUDHOMME LADC
1132 CENTRAL AVE NE
MINNEAPOLIS, MN 55413-1512
Phone number: 612-902-5932
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