HAYWARD CORKER

MINNEAPOLIS, MN
NPI1548699895
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  301563)
Enumeration Date2013-11-07
Last Update Date2013-11-07
Business Address
-- HAYWARD CORKER
1500 GOLDEN VALLEY RD
MINNEAPOLIS, MN 55411-3139
Phone number: 612-302-4109
Mailing Address
-- HAYWARD CORKER
1500 GOLDEN VALLEY RD
MINNEAPOLIS, MN 55411-3139
Phone number: 612-302-4109
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