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1831447937
LISA JEAN GEROLD
MINNEAPOLIS, MN
NPI
1831447937
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 302884)
Enumeration Date
2012-08-21
Last Update Date
2012-08-21
Business Address
-- LISA JEAN GEROLD LADC
3329 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414-3325
Phone number: 612-454-2261
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Mailing Address
-- LISA JEAN GEROLD LADC
3329 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414-3325
Phone number: 612-454-2261
Copy
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