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1841965142
SAMANTHA LAZOR
MINNEAPOLIS, MN
NPI
1841965142
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-08-10
Last Update Date
2021-08-10
Business Address
SAMANTHA LAZOR LADC
2118 BLAISDELL AVE
MINNEAPOLIS, MN 55404-2415
Phone number: 651-964-2490
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Mailing Address
SAMANTHA LAZOR LADC
2118 BLAISDELL AVE
MINNEAPOLIS, MN 55404-2415
Phone number:
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