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Individual

MR. JOHN THOMAS MACLIN JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LICENSED ALCOHOL DRU

Contact information

Practice address
8500 EDINBROOK PARKWAY #A, BROOKLYN PARK, MN 55443
(612) 462-0826
(763) 777-5685
Mailing address
8500 EDINBROOK PARKWAY #A, BROOKLYN PARK, MN 55443
(612) 462-0826
(763) 777-5685

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
301427
MN

Other

Enumeration date
01/21/2009
Last updated
02/16/2018
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