DONALD SHOPE

SHOREVIEW, MN
NPI1821597543
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  301362)
Enumeration Date2018-02-08
Last Update Date2018-02-08
Business Address
DONALD SHOPE LADC, CAP
4496 LEXINGTON AVE N
SHOREVIEW, MN 55126-2235
Phone number: 561-729-8368
Mailing Address
DONALD SHOPE LADC, CAP
4496 LEXINGTON AVE N
SHOREVIEW, MN 55126-2235
Phone number: 561-729-8368
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