ETHAN T URTEL

LAKEVILLE, MN
NPI1396337416
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2021-02-10
Last Update Date2021-02-10
Business Address
ETHAN T URTEL
8670 210TH ST W
LAKEVILLE, MN 55044-7000
Phone number: 180-043-8177
Mailing Address
ETHAN T URTEL
W175N11120 STONEWOOD DR
GERMANTOWN, WI 53022-4799
Phone number: 888-685-9522
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