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1801172432
ELICIA MARIE OMALLEY
MINNEAPOLIS, MN
NPI
1801172432
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 302540)
Enumeration Date
2011-10-27
Last Update Date
2011-10-27
Business Address
-- ELICIA MARIE OMALLEY LADC
1911 PLEASANT AVENUE SOUTH
MINNEAPOLIS, MN 55403
Phone number: 612-596-0099
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Mailing Address
-- ELICIA MARIE OMALLEY LADC
1911 PLEASANT AVENUE SOUTH
MINNEAPOLIS, MN 55403
Phone number: 612-596-0099
Copy
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