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1033546445
DANIEL KNUDSON
MAPLE GROVE, MN
NPI
1033546445
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-09-30
Last Update Date
2015-04-01
Business Address
-- DANIEL KNUDSON LADC
13603 80TH CIR N
MAPLE GROVE, MN 55369-8961
Phone number: 763-274-3120
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Mailing Address
-- DANIEL KNUDSON LADC
1900 SILVER LAKE RD NW SUITE 110
NEW BRIGHTON, MN 55112-1786
Phone number: 651-628-9566
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