SILAS RICHARDSON

WINONA, MN
NPI1114568763
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  303229)
Additional Taxonomies104100000X Social Worker
(Licence: MN  26330)
Enumeration Date2019-10-04
Last Update Date2019-10-04
Business Address
SILAS RICHARDSON
902 E 2ND ST STE 224
WINONA, MN 55987-6354
Phone number: 507-474-4140
Mailing Address
SILAS RICHARDSON
902 E 2ND ST STE 224
WINONA, MN 55987-6354
Phone number: 507-474-4140