Mary Kathryn Groth, BA, LADC

NPI #1689000739 in Little Falls, Minnesota

Provider Information

NPI Number
1689000739
Entity Type
Individual
Name
Mary Kathryn Groth, BA, LADC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
BA, LADC
Enumeration Date
Sep 20, 2013
Last Updated
Sep 20, 2013

Practice Location

Address
1001 5TH AVE NE APT 306
ZIP Code
56345-2545
Phone
(320) 630-0440

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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