| NPI | 1033436167 |
|---|---|
| Former Name | LORI M. CARGEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 302856) |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2014-07-22 |