DERRICK ELTON CRIM

MINNEAPOLIS, MN
NPI1144515248
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  300252)
Enumeration Date2011-06-16
Last Update Date2011-06-16
Business Address
-- DERRICK ELTON CRIM LADC
1911 PLEASANT AVE
MINNEAPOLIS, MN 55403-3506
Phone number: 612-874-9811
Mailing Address
-- DERRICK ELTON CRIM LADC
1911 PLEASANT AVE
MINNEAPOLIS, MN 55403-3506
Phone number: 612-874-9811
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