SPENCER E SHOTLEY

CASS LAKE, MN
NPI1740560804
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  302091)
Enumeration Date2011-08-22
Last Update Date2011-08-22
Business Address
-- SPENCER E SHOTLEY LADC, CADC III
115 6TH STREET NW
CASS LAKE, MN 56633
Phone number: 218-760-9257
Mailing Address
-- SPENCER E SHOTLEY LADC, CADC III
115 6TH STREET NW
CASS LAKE, MN 56633
Phone number: 218-760-9257
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