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1821524497
MADISON GRUENEWALD
EDEN PRAIRIE, MN
NPI
1821524497
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 304326)
Enumeration Date
2017-05-02
Last Update Date
2017-05-02
Business Address
-- MADISON GRUENEWALD MA, LADC
11010 PRAIRIE LAKES DR STE 350
EDEN PRAIRIE, MN 55344-3801
Phone number: 651-366-1546
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Mailing Address
-- MADISON GRUENEWALD MA, LADC
10255 GRAND ISLE PL
WOODBURY, MN 55129-4231
Phone number: 651-366-1546
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