MICHELLE MARIE KELLUM

STILLWATER, MN
NPI1801189485
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  301823)
Enumeration Date2011-05-16
Last Update Date2011-05-16
Business Address
Ms. MICHELLE MARIE KELLUM LADC
11400 JULIANNE AVE N
STILLWATER, MN 55082-9436
Phone number: 651-426-3300
Mailing Address
Ms. MICHELLE MARIE KELLUM LADC
11400 JULIANNE AVE N
STILLWATER, MN 55082-9436
Phone number: 651-426-3300
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