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1821376120
DEBRA LYNN WACHOLZ
ROCHESTER, MN
NPI
1821376120
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 303120)
Enumeration Date
2011-08-03
Last Update Date
2011-08-03
Business Address
-- DEBRA LYNN WACHOLZ BS, LADC
343 WOODLAKE DR SE
ROCHESTER, MN 55904-6242
Phone number: 507-289-2089
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Mailing Address
-- DEBRA LYNN WACHOLZ BS, LADC
2145 KENNETH DR
ALBERT LEA, MN 56007-4012
Phone number: 507-383-5490
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