EDWIN JADE MAKI

FRIDLEY, MN
NPI1962598292
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  301815)
Enumeration Date2006-10-05
Last Update Date2007-07-08
Business Address
Mr. EDWIN JADE MAKI LADC BA
7590 LYRIC LANE NE UNITY HOSPITAL
FRIDLEY, MN 55432
Phone number: 763-236-9300
Mailing Address
Mr. EDWIN JADE MAKI LADC BA
5603 HALIFAX AVE NORTH
BROOKLY LEMEN, MN 55429
Phone number: 763-536-8787
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