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Individual

SUSAN HOLTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LADC

Contact information

Practice address
1825 CURVE CREST BLVD W STE 103, STILLWATER, MN 55082-6054
(612) 326-7584
(651) 351-0162
Mailing address
1825 CURVE CREST BLVD W STE 103, STILLWATER, MN 55082-6054
(612) 326-7584
(651) 351-0162

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
301610
MN

Other

Enumeration date
01/11/2019
Last updated
01/11/2019
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