TERRY SYLVESTER MADER

ALEXANDRIA, MN
NPI1912158338
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MN  301762)
Enumeration Date2008-10-03
Last Update Date2008-10-03
Business Address
TERRY SYLVESTER MADER LADC
222 9TH AVE W
ALEXANDRIA, MN 56308-2221
Phone number: 320-763-3912
Mailing Address
TERRY SYLVESTER MADER LADC
222 9TH AVE W
ALEXANDRIA, MN 56308-2221
Phone number: 320-763-3912
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