DAVID BRUCE SJOSTROM

BEMIDJI, MN
NPI1598950792
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  301521)
Enumeration Date2007-09-11
Last Update Date2007-09-11
Business Address
Mr. DAVID BRUCE SJOSTROM B.A., LADC
1510 BEMIDJI AVE N STE 13
BEMIDJI, MN 56601-3800
Phone number: 218-444-5740
Mailing Address
Mr. DAVID BRUCE SJOSTROM B.A., LADC
1510 BEMIDJI AVE N STE 13
BEMIDJI, MN 56601-3804
Phone number: 218-444-5740