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1083658165
PHILLIP DELANEY
DEVILS LAKE, ND
NPI
1083658165
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ND 1502)
Enumeration Date
2006-06-16
Last Update Date
2007-07-09
Business Address
-- PHILLIP DELANEY LAC
200 HIGHWAY 2 W
DEVILS LAKE, ND 58301-3532
Phone number: 701-665-2200
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Mailing Address
-- PHILLIP DELANEY LAC
PO BOX 650
DEVILS LAKE, ND 58301-0650
Phone number: 701-665-2200
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