Individual
KIM MARIE ENOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1918 N ARLINGTON AVE, DULUTH, MN 55811-2034
(218) 625-6700
Mailing address
48352 SHADOW OAK RD, KERRICK, MN 55756-3158
(218) 380-3384
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302809
MN
Other
Enumeration date
05/16/2018
Last updated
05/16/2018
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