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1013753185
KATHLEEN DIANE KONGSJORD
BRAINERD, MN
NPI
1013753185
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: MN 4477)
Enumeration Date
2024-07-08
Last Update Date
2024-08-30
Business Address
KATHLEEN DIANE KONGSJORD LPCC
11600 STATE AVE
BRAINERD, MN 56401-7306
Phone number: 218-454-8919
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Mailing Address
KATHLEEN DIANE KONGSJORD LPCC
7038 REMINGTON WAY
BRAINERD, MN 56401-6397
Phone number: 121-825-6311
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