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1861023129
COURTNEY GRACE SIMONETTE
MANKATO, MN
NPI
1861023129
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-01-27
Last Update Date
2020-01-27
Business Address
COURTNEY GRACE SIMONETTE LADC
44 GOOD COUNSEL DR
MANKATO, MN 56001-6599
Phone number: 800-438-1772
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Mailing Address
COURTNEY GRACE SIMONETTE LADC
W175N11120 STONEWOOD DR
GERMANTOWN, WI 53022-4799
Phone number: 800-438-1772
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