Individual
MR. MICHAEL GILBERT CORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
323 S MINNESOTA ST, CROOKSTON, MN 56716-1601
(218) 281-9525
(218) 281-9503
Mailing address
323 S MINNESOTA ST, CROOKSTON, MN 56716-1601
(218) 281-9525
(218) 281-9503
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303046
MN
Other
Enumeration date
08/29/2013
Last updated
08/29/2013
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