Individual
FREDERICK J DYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
2817 ANTHONY LN S STE 310, MINNEAPOLIS, MN 55418-2491
(612) 217-2863
Mailing address
2817 ANTHONY LN S STE 310, MINNEAPOLIS, MN 55418-2491
(612) 217-2863
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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