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1194762005
FAMILY BASED THERAPY ASSOCIATES
COON RAPIDS, MN
NPI
1194762005
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Entity Type
Organization
Authorized Contact
RANDALL D WALLACE
Director
763-780-1520
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2006-05-31
Last Update Date
2020-08-22
Business Address
FAMILY BASED THERAPY ASSOCIATES
199 COON RAPIDS BLVD NW SUITE 306
COON RAPIDS, MN 55433-5831
Phone number: 763-780-1520
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Mailing Address
FAMILY BASED THERAPY ASSOCIATES
199 COON RAPIDS BLVD NW SUITE 306
COON RAPIDS, MN 55433-5831
Phone number: 763-780-1520
Copy
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