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Individual

MARI GWYN ANDERSON FAIRCHILD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LADC

Contact information

Practice address
5900 GREEN OAK DR # 306, MINNETONKA, MN 55343-4708
(952) 243-8707
(612) 484-3752
Mailing address
5900 GREEN OAK DR # 306, MINNETONKA, MN 55343-4708
(952) 243-8707
(612) 484-3752

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
307588
MN

Other

Enumeration date
04/08/2026
Last updated
04/08/2026
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