LISA JEAN GEROLD

MINNEAPOLIS, MN
NPI1831447937
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MN  302884)
Enumeration Date2012-08-21
Last Update Date2012-08-21
Business Address
LISA JEAN GEROLD LADC
3329 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414-3325
Phone number: 612-454-2261
Mailing Address
LISA JEAN GEROLD LADC
3329 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414-3325
Phone number: 612-454-2261
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