SUSAN KAY WIEGAND VANHATTEN

MAPLEWOOD, MN
NPI1942599386
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MN  302351)
Enumeration Date2011-04-06
Last Update Date2011-04-06
Business Address
MS. SUSAN KAY WIEGAND VANHATTEN LADC
297 CENTURY AVE S
MAPLEWOOD, MN 55119-5206
Phone number: 651-266-1443
Mailing Address
MS. SUSAN KAY WIEGAND VANHATTEN LADC
297 CENTURY AVE S
MAPLEWOOD, MN 55119-5206
Phone number: 651-266-1443
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