Individual
MR. THOMAS MANVILLE REFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
323 S MINNESOTA ST, CROOKSTON, MN 56716-1601
(218) 281-9514
Mailing address
323 SOUTH MN ST, CROOKSTON, MN 56716
(218) 281-9514
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302002
MN
104100000X
Social Worker
17830
MN
Other
Enumeration date
09/28/2006
Last updated
02/04/2010
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