ELICIA MARIE OMALLEY

MINNEAPOLIS, MN
NPI1801172432
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  302540)
Enumeration Date2011-10-27
Last Update Date2011-10-27
Business Address
-- ELICIA MARIE OMALLEY LADC
1911 PLEASANT AVENUE SOUTH
MINNEAPOLIS, MN 55403
Phone number: 612-596-0099
Mailing Address
-- ELICIA MARIE OMALLEY LADC
1911 PLEASANT AVENUE SOUTH
MINNEAPOLIS, MN 55403
Phone number: 612-596-0099
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