JOSHUA J MAYNARD

FARGO, ND
NPI1366674723
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ND  1601)
Enumeration Date2009-08-19
Last Update Date2009-08-19
Business Address
-- JOSHUA J MAYNARD LAC
4227 9TH AVE S
FARGO, ND 58103-2018
Phone number: 701-282-6561
Mailing Address
-- JOSHUA J MAYNARD LAC
4227 9TH AVE S
FARGO, ND 58103-2018
Phone number: 701-282-6561
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