DAVE JUNGWIRTH

RICHFIELD, MN
NPI1104170554
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  101YA0400X)
Enumeration Date2012-11-07
Last Update Date2012-11-07
Business Address
-- DAVE JUNGWIRTH
1550 E 78TH ST
RICHFIELD, MN 55423-4638
Phone number: 612-767-2846
Mailing Address
-- DAVE JUNGWIRTH
1550 E 78TH ST
RICHFIELD, MN 55423-4638
Phone number: 612-767-2846
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