Individual
EDWIN NYUMAH SWARAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LADC, CBIS
Contact information
Practice address
11112 HILLSBORO AVE N, CHAMPLIN, MN 55316-3128
(763) 300-0289
Mailing address
11112 HILLSBORO AVE N, CHAMPLIN, MN 55316-3128
(763) 300-0289
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303810
MN
Other
Enumeration date
03/13/2018
Last updated
03/13/2018
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