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Individual

DAVE R BJORKLUND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LADC MA

Contact information

Practice address
11505 36TH AVE N, PLYMOUTH, MN 55441-2304
(763) 509-3836
Mailing address
11505 36TH AVE N, PLYMOUTH, MN 55441-2304
(763) 509-3836

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303327
MN

Other

Enumeration date
02/18/2020
Last updated
02/18/2020
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