LORETTA JAYNE BACH GANSEN

PARK RAPIDS, MN
NPI1164656989
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  300392)
Enumeration Date2009-05-07
Last Update Date2019-02-20
Business Address
LORETTA JAYNE BACH GANSEN L.A.D.C.
515 BRIDGE ST
PARK RAPIDS, MN 56470-1210
Phone number: 218-366-9229
Mailing Address
LORETTA JAYNE BACH GANSEN L.A.D.C.
515 BRIDGE ST
PARK RAPIDS, MN 56470-1210
Phone number: 218-366-9229
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