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1114334109
AUSTIN DECOCK
BEMIDJI, MN
NPI
1114334109
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MN cc00795)
Enumeration Date
2014-07-22
Last Update Date
2014-07-22
Business Address
-- AUSTIN DECOCK MS, LPCC
516 BELTRAMI AVE NW
BEMIDJI, MN 56601-3010
Phone number: 218-444-2845
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Mailing Address
-- AUSTIN DECOCK MS, LPCC
516 BELTRAMI AVE NW
BEMIDJI, MN 56601-3010
Phone number: 218-444-2845
Copy
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