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1538597380
TIMOTHY GROTH
MINNEAPOLIS, MN
NPI
1538597380
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 303453)
Enumeration Date
2013-10-14
Last Update Date
2013-10-14
Business Address
-- TIMOTHY GROTH
3329 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414-3325
Phone number: 612-454-2260
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Mailing Address
-- TIMOTHY GROTH
3329 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414-3325
Phone number: 651-454-2260
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