Individual
MAUD MARIA ENSTROM PARHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
13005 COUNTY ROAD 5, BURNSVILLE, MN 55337-2226
(651) 829-7124
Mailing address
13005 COUNTY ROAD 5, BURNSVILLE, MN 55337-2226
(651) 829-7124
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303571
MN
Other
Enumeration date
09/02/2015
Last updated
09/02/2015
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