THOMAS A GAGNON

GRAND RAPIDS, MN
NPI1245448927
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  300315)
Enumeration Date2007-05-18
Last Update Date2007-07-08
Business Address
-- THOMAS A GAGNON LADC
510 SE 13TH ST
GRAND RAPIDS, MN 55744-4233
Phone number: 218-327-2570
Mailing Address
-- THOMAS A GAGNON LADC
215 SE 2ND AVE
GRAND RAPIDS, MN 55744-3615
Phone number: