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1902281256
SAMUEL SIMMONS
MINNEAPOLIS, MN
NPI
1902281256
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 300322)
Enumeration Date
2015-07-28
Last Update Date
2015-07-28
Business Address
-- SAMUEL SIMMONS LADC
3442 25TH AVE S
MINNEAPOLIS, MN 55406-2504
Phone number: 612-721-0106
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Mailing Address
-- SAMUEL SIMMONS LADC
3442 25TH AVE S
MINNEAPOLIS, MN 55406-2504
Phone number: 612-721-0106
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