ALICE ETHEL NORDLUM

NORTH BRANCH, MN
NPI1891297024
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MN  304361)
Enumeration Date2018-03-04
Last Update Date2018-03-04
Business Address
ALICE ETHEL NORDLUM
5842 OLD MAIN ST STE 2
NORTH BRANCH, MN 55056-6687
Phone number: 651-401-3068
Mailing Address
ALICE ETHEL NORDLUM
1175 N RYAN LAKE RD NE
ISANTI, MN 55040-6146
Phone number: 763-607-7284