KENTON NEU

ROCHESTER, MN
NPI1831519081
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  303685)
Enumeration Date2014-04-25
Last Update Date2014-04-25
Business Address
-- KENTON NEU LADC, BCC
1530 ASSISI DR NW
ROCHESTER, MN 55901-1637
Phone number: 507-218-3459
Mailing Address
-- KENTON NEU LADC, BCC
1530 ASSISI DR NW
ROCHESTER, MN 55901-1637
Phone number: 507-218-3459
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