Individual
ANDERSON SAINT GEORGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
811 8TH ST SE, DETROIT LAKES, MN 56501-2842
(218) 844-5782
Mailing address
811 8TH ST SE, DETROIT LAKES, MN 56501-2842
(218) 844-5782
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304866
MN
Other
Enumeration date
10/17/2017
Last updated
10/17/2017
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