EDWARD WESLEY WHITTAKER

NEW HOPE, MN
NPI1437405750
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  300517)
Enumeration Date2012-07-24
Last Update Date2012-07-24
Business Address
-- EDWARD WESLEY WHITTAKER LADC
8015 36TH AVE N APT 217
NEW HOPE, MN 55427-1960
Phone number: 612-636-0801
Mailing Address
-- EDWARD WESLEY WHITTAKER LADC
8015 36TH AVE N APT 217
NEW HOPE, MN 55427-1960
Phone number: 612-636-0801
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