JOANNE CAROL DETWILER

BEMIDJI, MN
NPI1336381425
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  300667)
Enumeration Date2009-04-03
Last Update Date2009-04-03
Business Address
-- JOANNE CAROL DETWILER L.A.D.C.
722 15TH ST NW
BEMIDJI, MN 56601-2528
Phone number: 218-751-3280
Mailing Address
-- JOANNE CAROL DETWILER L.A.D.C.
PO BOX 640
BEMIDJI, MN 56619-0640
Phone number: 218-751-3280
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