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1760082143
ANDREA LANE
ANDOVER, MN
NPI
1760082143
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 305243)
Enumeration Date
2020-10-27
Last Update Date
2022-07-27
Business Address
ANDREA LANE
1875 STATION PKWY NW
ANDOVER, MN 55304
Phone number: 763-482-9598
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Mailing Address
ANDREA LANE
1875 STATION PKWY NW
ANDOVER, MN 55304-3319
Phone number:
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