Individual
ETHEL ANDREA GILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
936 JEFFERSON AVE, SAINT PAUL, MN 55102-2804
(651) 263-0726
Mailing address
936 JEFFERSON AVE, SAINT PAUL, MN 55102-2804
(651) 263-0726
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
306329
MN
Other
Enumeration date
05/24/2022
Last updated
05/24/2022
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