Individual
GRACE PAGE-TEAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9220 ZANZIBAR LN N, MAPLE GROVE, MN 55311-4657
(612) 203-2606
Mailing address
9220 ZANZIBAR LN N APT 217, MAPLE GROVE, MN 55311-1392
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
307327
MN
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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