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1942599386
SUSAN KAY WIEGAND VANHATTEN
MAPLEWOOD, MN
NPI
1942599386
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 302351)
Enumeration Date
2011-04-06
Last Update Date
2011-04-06
Business Address
Ms. SUSAN KAY WIEGAND VANHATTEN LADC
297 CENTURY AVE S
MAPLEWOOD, MN 55119-5206
Phone number: 651-266-1443
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Mailing Address
Ms. SUSAN KAY WIEGAND VANHATTEN LADC
297 CENTURY AVE S
MAPLEWOOD, MN 55119-5206
Phone number: 651-266-1443
Copy
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