MATTHEW DANIEL WALFOORT

SAINT PAUL, MN
NPI1508460148
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  304592)
Enumeration Date2020-11-24
Last Update Date2020-11-24
Business Address
MATTHEW DANIEL WALFOORT BA , LADC
1246 UNIVERSITY AVE W
SAINT PAUL, MN 55104-4125
Phone number: 651-204-0226
Mailing Address
MATTHEW DANIEL WALFOORT BA , LADC
1246 UNIVERSITY AVE W
SAINT PAUL, MN 55104-4125
Phone number: 651-204-0226
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