Individual
SUSAN MARIE CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
32298 STATE HIGHWAY 13, MONTGOMERY, MN 56069-4348
(507) 364-5312
(507) 364-5908
Mailing address
32298 STATE HIGHWAY 13, MONTGOMERY, MN 56069-4348
(507) 364-5312
(507) 364-5908
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
301422
MN
Other
Enumeration date
01/02/2019
Last updated
08/02/2022
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