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Individual

DAVE JUNGWIRTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1550 E 78TH ST, RICHFIELD, MN 55423-4638
(612) 767-2846
Mailing address
1550 E 78TH ST, RICHFIELD, MN 55423-4638
(612) 767-2846

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YA0400X
MN

Other

Enumeration date
11/07/2012
Last updated
11/07/2012
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