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1811320591
GAIL COSTA
MINNEAPOLIS, MN
NPI
1811320591
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 303513)
Enumeration Date
2013-08-16
Last Update Date
2013-08-16
Business Address
Mrs. GAIL COSTA BS,LADC
1500 GOLDEN VALLEY RD
MINNEAPOLIS, MN 55411-3139
Phone number: 612-520-9185
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Mailing Address
Mrs. GAIL COSTA BS,LADC
1500 GOLDEN VALLEY RD
MINNEAPOLIS, MN 55411-3139
Phone number: 612-520-9185
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