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1114511714
BENJAMIN DOUGLAS HUSTEDT
DULUTH, MN
NPI
1114511714
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 27270)
Enumeration Date
2021-02-24
Last Update Date
2021-02-24
Business Address
BENJAMIN DOUGLAS HUSTEDT LICSW
615 PECAN AVE
DULUTH, MN 55811-2749
Phone number: 218-355-2100
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Mailing Address
BENJAMIN DOUGLAS HUSTEDT LICSW
SSB-5 400 EAST THIRD STREET
DULUTH, MN 55805
Phone number: 218-786-8364
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