MICHAEL JOHN MCMULLEN

FARGO, ND
NPI1962058826
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ND  1859)
Enumeration Date2019-08-15
Last Update Date2019-08-15
Business Address
MICHAEL JOHN MCMULLEN LAC
4227 9TH AVE S
FARGO, ND 58103-2018
Phone number: 701-781-6021
Mailing Address
MICHAEL JOHN MCMULLEN LAC
4227 9TH AVE S
FARGO, ND 58103-2018
Phone number: 701-781-6021
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