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1184352197
KEVIN HAM
MINNEAPOLIS, MN
NPI
1184352197
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2022-08-09
Last Update Date
2022-08-09
Business Address
KEVIN HAM LADC
1404 CENTRAL AVE NE
MINNEAPOLIS, MN 55413-1517
Phone number: 612-216-4345
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Mailing Address
KEVIN HAM LADC
1404 CENTRAL AVE NE
MINNEAPOLIS, MN 55413-1517
Phone number: 612-216-4345
Copy
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