Individual
THOMAS R OSWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
23616 US HIGHWAY 2 SW, CROOKSTON, MN 56716-9103
(800) 584-9226
Mailing address
323 S MINNESOTA ST, CROOKSTON, MN 56716-1601
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302619
MN
Other
Enumeration date
11/07/2009
Last updated
11/07/2009
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