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1154422012
KIMBERLY JEAN SLETTA AVENSON
BEMIDJI, MN
NPI
1154422012
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 15400)
Enumeration Date
2006-09-25
Last Update Date
2019-12-13
Business Address
Mrs. KIMBERLY JEAN SLETTA AVENSON MSW, LICSW
722 15TH STREET N.W.
BEMIDJI, MN 56619-0640
Phone number: 218-751-3280
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Mailing Address
Mrs. KIMBERLY JEAN SLETTA AVENSON MSW, LICSW
PO BOX 5074
SIOUX FALLS, SD 57117-5074
Phone number:
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