GARY PAULSON

STILLWATER, MN
NPI1215941422
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  300891)
Enumeration Date2006-07-27
Last Update Date2007-07-08
Business Address
-- GARY PAULSON LADC
375 ORLEANS ST E
STILLWATER, MN 55082-5830
Phone number: 651-430-2720
Mailing Address
-- GARY PAULSON LADC
7066 STILLWATER BLVD N
OAKDALE, MN 55128-3937
Phone number: 651-777-5222