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1952662611
MELODIE ILLIES
OTSEGO, MN
NPI
1952662611
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: MN 2447)
Enumeration Date
2012-05-30
Last Update Date
2012-05-30
Business Address
-- MELODIE ILLIES
16201 90TH ST NE SUITE 200
OTSEGO, MN 55330-7463
Phone number: 763-746-9492
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Mailing Address
-- MELODIE ILLIES
1900 SILVER LAKE RD NW SUITE110
NEW BRIGHTON, MN 55112-1786
Phone number:
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