Individual
DODI GREELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
109 WASHBURNE AVE, PAYNESVILLE, MN 56362-1640
(320) 243-1599
(320) 243-1570
Mailing address
109 WASHBURNE AVE, PAYNESVILLE, MN 56362-1640
(320) 243-1599
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304989
MN
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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