JORY COLEGROVE

MINNEAPOLIS, MN
NPI1730638644
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  304459)
Enumeration Date2016-10-04
Last Update Date2016-10-04
Business Address
Mr. JORY COLEGROVE MA LADC
1132 CENTRAL AVE NE
MINNEAPOLIS, MN 55413-1512
Phone number: 612-902-5928
Mailing Address
Mr. JORY COLEGROVE MA LADC
1132 CENTRAL AVE NE
MINNEAPOLIS, MN 55413
Phone number: 612-902-5928
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