Individual
SUZANNE THERESA BRANNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S., L.A.D.C.
Contact information
Practice address
797 EAST 7TH ST., CLUES CHEMICAL HEALTH, ST. PAUL, MN 55106
(651) 379-4287
(651) 379-4297
Mailing address
2547 2ND AVE E, NORTH ST PAUL, MN 55109-3222
(763) 464-0229
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303996
MN
Other
Enumeration date
10/20/2014
Last updated
10/20/2014
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