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1780700195
DIANE RUTH ANDERSON
MINNEAPOLIS, MN
NPI
1780700195
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 301252)
Enumeration Date
2007-03-21
Last Update Date
2007-07-08
Business Address
-- DIANE RUTH ANDERSON LADC
4432 CHICAGO AVE
MINNEAPOLIS, MN 55407-3519
Phone number: 612-870-2439
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Mailing Address
-- DIANE RUTH ANDERSON LADC
4738 BRYANT AVE N
MINNEAPOLIS, MN 55430-3535
Phone number: 612-388-6716
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