JASON MARTIN SAMUDIO

MAPLE GROVE, MN
NPI1215494158
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  305317)
Enumeration Date2019-02-27
Last Update Date2019-02-27
Business Address
JASON MARTIN SAMUDIO
13603 80TH CIR N
MAPLE GROVE, MN 55369-8961
Phone number: 763-274-3120
Mailing Address
JASON MARTIN SAMUDIO
1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON, MN 55112-1789
Phone number: 651-628-9566
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