KIMBERLY FOTHERGILL

MAPLE GROVE, MN
NPI1124533369
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2017-12-11
Last Update Date2018-10-22
Business Address
KIMBERLY FOTHERGILL
13603 80TH CIR N
MAPLE GROVE, MN 55369-8961
Phone number: 763-274-3120
Mailing Address
KIMBERLY FOTHERGILL
1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON, MN 55112-1789
Phone number:
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