JESSE INDERLEE

PLYMOUTH, MN
NPI1013201961
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MN  301412)
Enumeration Date2011-06-07
Last Update Date2012-07-10
Business Address
JESSE INDERLEE LADC
13895 INDUSTRIAL PARK BLVD
PLYMOUTH, MN 55441-3700
Phone number: 763-559-5677
Mailing Address
JESSE INDERLEE LADC
13895 INDUSTRIAL PARK BLVD
PLYMOUTH, MN 55441-3700
Phone number: 763-559-5677
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