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1235298233
BRENDA R PHILLIPS
FARGO, ND
NPI
1235298233
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ND 1444)
Enumeration Date
2006-12-06
Last Update Date
2007-07-08
Business Address
-- BRENDA R PHILLIPS LAC
4227 9TH AVE S
FARGO, ND 58103-2018
Phone number: 701-282-6564
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Mailing Address
-- BRENDA R PHILLIPS LAC
4227 9TH AVE S
FARGO, ND 58103-2018
Phone number: 701-282-6564
Copy
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