TIMOTHY GROTH

MINNEAPOLIS, MN
NPI1538597380
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  303453)
Enumeration Date2013-10-14
Last Update Date2013-10-14
Business Address
-- TIMOTHY GROTH
3329 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414-3325
Phone number: 612-454-2260
Mailing Address
-- TIMOTHY GROTH
3329 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414-3325
Phone number: 651-454-2260
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