SCOTT KENNETH PAUL

SAINT CLOUD, MN
NPI1972887321
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  302685)
Enumeration Date2011-10-04
Last Update Date2011-10-04
Business Address
-- SCOTT KENNETH PAUL LADC
1321 13TH ST N
SAINT CLOUD, MN 56303-2613
Phone number: 320-252-5010
Mailing Address
-- SCOTT KENNETH PAUL LADC
1321 13TH ST N
SAINT CLOUD, MN 56303-2613
Phone number: 320-252-5010
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