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1811666167
TIMOTHY JAMES HEWITT
SAINT PAUL, MN
NPI
1811666167
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MN 306056)
Enumeration Date
2021-09-09
Last Update Date
2021-09-09
Business Address
TIMOTHY JAMES HEWITT MPS, LADC
1246 UNIVERSITY AVE W
SAINT PAUL, MN 55104-4125
Phone number: 651-314-1138
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Mailing Address
TIMOTHY JAMES HEWITT MPS, LADC
2123 BAY DR
LINO LAKES, MN 55038-4690
Phone number: 231-330-4975
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