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1376146985
TIMOTHY P ANDERSON
ROCHESTER, MN
NPI
1376146985
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 304740)
Enumeration Date
2020-11-17
Last Update Date
2020-11-17
Business Address
TIMOTHY P ANDERSON MA, LADC-S
3737 40TH AVE NW
ROCHESTER, MN 55901-1772
Phone number: 651-724-5648
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Mailing Address
TIMOTHY P ANDERSON MA, LADC-S
5628 SILAS DENT RD NW
ROCHESTER, MN 55901-0195
Phone number: 651-724-5648
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