JAY ALAN ORTH

SAINT CLOUD, MN
NPI1750534434
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MN  301931)
Enumeration Date2008-10-28
Last Update Date2008-10-28
Business Address
JAY ALAN ORTH LADC
1321 13TH ST N
SAINT CLOUD, MN 56303-2613
Phone number: 320-252-5010
Mailing Address
JAY ALAN ORTH LADC
1321 13TH ST N
SAINT CLOUD, MN 56303-2613
Phone number: 320-252-5010
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