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1255079752
EVAN JOSEPH FLACK
SAINT PAUL, MN
NPI
1255079752
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 305876)
Enumeration Date
2022-05-24
Last Update Date
2022-05-24
Business Address
Mr. EVAN JOSEPH FLACK MA, LADC
762 TRANSFER RD STE 21
SAINT PAUL, MN 55114-1489
Phone number: 651-659-2900
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Mailing Address
Mr. EVAN JOSEPH FLACK MA, LADC
1180 CUSHING CIR APT 309
SAINT PAUL, MN 55108-5017
Phone number:
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