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1740754837
SUSAN HOLTER
STILLWATER, MN
NPI
1740754837
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 301610)
Enumeration Date
2019-01-11
Last Update Date
2019-01-11
Business Address
SUSAN HOLTER LADC
1825 CURVE CREST BLVD W STE 103
STILLWATER, MN 55082-6054
Phone number: 612-326-7584
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Mailing Address
SUSAN HOLTER LADC
1825 CURVE CREST BLVD W STE 103
STILLWATER, MN 55082-6054
Phone number: 612-326-7584
Copy
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