Individual
MARIANNE BERNADETTE THIRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
17305 MEADOW CREEK LANE, PINE CITY, MN 55063
(763) 444-4878
Mailing address
37626 RENDOVA ST NE, STANCHFIELD, MN 55080-5025
(320) 396-3528
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
301772
MN
Other
Enumeration date
05/25/2011
Last updated
05/25/2011
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