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Individual

MR. TIMOTHY E SNYDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRADC

Contact information

Practice address
50 NORTHGATE INDUSTRIAL DR, GRANITE CITY, IL 62040-6805
(618) 258-0021
(618) 877-9250
Mailing address
50 NORTHGATE INDUSTRIAL DR, GRANITE CITY, IL 62040-6805
(618) 258-0021
(618) 877-9250

Taxonomy

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

Other

Enumeration date
04/25/2012
Last updated
04/25/2012
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