Individual
JILL MARIE SCHLEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13931 76TH AVE N, MAPLE GROVE, MN 55311-2754
(320) 224-8843
Mailing address
13931 76TH AVE N, MAPLE GROVE, MN 55311-2754
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302782
MN
Other
Enumeration date
05/25/2022
Last updated
05/25/2022
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