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1518380880
LARRY SILVERNESS
NEW BRIGHTON, MN
NPI
1518380880
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-01-22
Last Update Date
2014-01-22
Business Address
-- LARRY SILVERNESS
1403 SILVER LAKE RD NW
NEW BRIGHTON, MN 55112-6398
Phone number: 651-633-4532
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Mailing Address
-- LARRY SILVERNESS
1420 WATERFORD DR
MINNEAPOLIS, MN 55422-4275
Phone number: 763-588-7590
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