RANDY SMITH

MINNEAPOLIS, MN
NPI1255986998
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  302210)
Enumeration Date2019-08-08
Last Update Date2019-08-08
Business Address
RANDY SMITH LADC
2314 PLYMOUTH AVE N
MINNEAPOLIS, MN 55411-3636
Phone number: 763-478-1418
Mailing Address
RANDY SMITH LADC
11990 JONQUIL ST NW
COON RAPIDS, MN 55433-1797
Phone number: 763-478-1418
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