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Individual

DANIEL BURRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LADC

Contact information

Practice address
6550 YORK AVE S STE 620, EDINA, MN 55435-2347
(952) 926-2526
Mailing address
6550 YORK AVE S STE 620, EDINA, MN 55435-2347
(952) 926-2526

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303326
MN

Other

Enumeration date
10/14/2015
Last updated
10/14/2015
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