Individual
DENYAL KIMBER LECLAIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
11010 PRAIRIE LAKES DR STE 350, EDEN PRAIRIE, MN 55344-3801
(952) 746-2522
Mailing address
11010 PRAIRIE LAKES DR STE 350, EDEN PRAIRIE, MN 55344-3801
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304918
MN
Other
Enumeration date
12/30/2019
Last updated
12/30/2019
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