MARK W. ANDERSON

GRAND RAPIDS, MN
NPI1225215122
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  302045)
Enumeration Date2008-01-23
Last Update Date2008-01-23
Business Address
-- MARK W. ANDERSON LADC
1215 SE 7TH AVE
GRAND RAPIDS, MN 55744-4201
Phone number: 218-327-1105
Mailing Address
-- MARK W. ANDERSON LADC
1215 SE 7TH AVE
GRAND RAPIDS, MN 55744-4201
Phone number: