FIDELIS KUM

SAINT PAUL, MN
NPI1427521400
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  304173)
Enumeration Date2019-01-02
Last Update Date2019-01-02
Business Address
FIDELIS KUM LADC
1821 UNIVERSITY AVE W STE M385
SAINT PAUL, MN 55104-2801
Phone number: 612-454-2038
Mailing Address
FIDELIS KUM LADC
1821 UNIVERSITY AVE W STE M385
SAINT PAUL, MN 55104-2801
Phone number: 612-454-2038
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