JOSHUA LEE FREDRICKSON

CRYSTAL, MN
NPI1871047589
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  303295)
Enumeration Date2016-08-10
Last Update Date2016-08-10
Business Address
-- JOSHUA LEE FREDRICKSON LADC, CBIS
6724 43RD AVE N
CRYSTAL, MN 55428-5239
Phone number: 612-309-8183
Mailing Address
-- JOSHUA LEE FREDRICKSON LADC, CBIS
6724 43RD AVE N
CRYSTAL, MN 55428-5239
Phone number: 612-309-8183
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