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Individual

ALLISON AFFOLTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6939 PINE ARBOR DR S STE 100, COTTAGE GROVE, MN 55016-4643
(651) 313-8080
Mailing address
6939 PINE ARBOR DR S STE 100, COTTAGE GROVE, MN 55016-4643
(651) 313-8080

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
304880
MN
106H00000X
Marriage & Family Therapist
Primary
4342
MN

Other

Enumeration date
07/08/2022
Last updated
07/08/2022
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