ROBERT WAYNE ODEGAARD

WOODBURY, MN
NPI1568650778
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  301997)
Enumeration Date2007-10-12
Last Update Date2007-10-12
Business Address
-- ROBERT WAYNE ODEGAARD LADC
7616 CURRELL BLVD
WOODBURY, MN 55125-2290
Phone number: 651-259-9750
Mailing Address
-- ROBERT WAYNE ODEGAARD LADC
7616 CURRELL BLVD
WOODBURY, MN 55125-2290
Phone number: 651-259-9750
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