Individual
MISS ANITA MARIE BOOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
2900 FREMONT AVE N, MINNEAPOLIS, MN 55411-1390
(888) 648-8349
(651) 348-8349
Mailing address
2515 N FERRY ST, ANOKA, MN 55303-1654
(763) 310-7095
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303987
MN
Other
Enumeration date
12/11/2018
Last updated
12/16/2020
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