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1962127670
LISA ANN AGRE
WILLMAR, MN
NPI
1962127670
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 306344)
Enumeration Date
2022-10-05
Last Update Date
2022-10-05
Business Address
LISA ANN AGRE LADC
328 3RD ST SW
WILLMAR, MN 56201-3475
Phone number: 320-231-9763
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Mailing Address
LISA ANN AGRE LADC
1011 30TH ST NW UNIT 312
WILLMAR, MN 56201-4765
Phone number: 320-979-2033
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