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1427484898
LUKE GOETTLICHER
COON RAPIDS, MN
NPI
1427484898
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MN 302300)
Enumeration Date
2013-09-17
Last Update Date
2018-12-13
Business Address
LUKE GOETTLICHER LADC
3833 COON RAPIDS BLVD NW STE 120
COON RAPIDS, MN 55433-2599
Phone number: 763-767-3350
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Mailing Address
LUKE GOETTLICHER LADC
1900 SILVER LAKE RD NW SUITE 110
NEW BRIGHTON, MN 55112-1786
Phone number: 651-628-9566
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