Individual
MARY KATHRYN GROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, LADC
Contact information
Practice address
1001 5TH AVE NE APT 306, LITTLE FALLS, MN 56345-2545
(320) 630-0440
Mailing address
1001 5TH AVE NE APT 306, LITTLE FALLS, MN 56345-2545
(320) 630-0440
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303697
MN
Other
Enumeration date
09/20/2013
Last updated
09/20/2013
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