MALLORY POTTER

MINNEAPOLIS, MN
NPI1891102836
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  303687)
Enumeration Date2014-07-22
Last Update Date2014-07-22
Business Address
-- MALLORY POTTER BS LADC
3329 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414-3325
Phone number: 612-454-2297
Mailing Address
-- MALLORY POTTER BS LADC
3329 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414-3325
Phone number: 612-454-2297
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