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1912475310
STACY LYNN BURRELL
LITTLE FALLS, MN
NPI
1912475310
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 305223)
Enumeration Date
2018-11-05
Last Update Date
2018-11-05
Business Address
STACY LYNN BURRELL LADC
1906 5TH AVE SE
LITTLE FALLS, MN 56345-3317
Phone number: 320-632-6647
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Mailing Address
STACY LYNN BURRELL LADC
37863 186TH AVE
AVON, MN 56310-8704
Phone number: 320-237-0688
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