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1023523230
HEIDI ANN HANSEN
VIRGINIA, MN
NPI
1023523230
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 303986)
Enumeration Date
2017-12-11
Last Update Date
2017-12-11
Business Address
HEIDI ANN HANSEN
505 S 12TH AVE W STE 1
VIRGINIA, MN 55792-2001
Phone number: 218-749-2877
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Mailing Address
HEIDI ANN HANSEN
505 S 12TH AVE W STE 1
VIRGINIA, MN 55792-2001
Phone number: 218-749-2877
Copy
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