MICHELLE MARIE DIFFENBAUGH

ST. PAUL, MN
NPI1922398809
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  302501)
Enumeration Date2011-04-13
Last Update Date2011-04-13
Business Address
Miss MICHELLE MARIE DIFFENBAUGH LADC
1885 UNIVERSITY AVE SUITE 246
ST. PAUL, MN 55104-3489
Phone number: 612-326-7563
Mailing Address
Miss MICHELLE MARIE DIFFENBAUGH LADC
1885 UNIVERSITY AVE SUITE 246
ST. PAUL, MN 55104
Phone number: 612-326-7563
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