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1104467174
FALLON KIRBY LEISETH
WILLISTON, ND
NPI
1104467174
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-10-01
Last Update Date
2024-11-12
Business Address
FALLON KIRBY LEISETH
12 1ST AVE NW
WILLISTON, ND 58801
Phone number: 701-609-5376
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Mailing Address
FALLON KIRBY LEISETH
12 1ST AVE W
WILLISTON, ND 58801-6048
Phone number:
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