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1821731258
JAC CLINGERMAN
MINNEAPOLIS, MN
NPI
1821731258
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-04-14
Last Update Date
2022-04-14
Business Address
JAC CLINGERMAN LADC
2104 STEVENS AVE
MINNEAPOLIS, MN 55404-2533
Phone number: 651-964-3683
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Mailing Address
JAC CLINGERMAN LADC
1305 MADISON ST APT 318
SAINT PAUL, MN 55116-3319
Phone number: 651-964-3692
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