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1265003024
MELISSA LONGTINE
FARGO, ND
NPI
1265003024
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ND 538-9-15-05-341)
Enumeration Date
2021-07-02
Last Update Date
2021-07-02
Business Address
MELISSA LONGTINE LPCC
1620 16TH AVE S
FARGO, ND 58103-4055
Phone number: 701-809-5370
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Mailing Address
MELISSA LONGTINE LPCC
16055 BLACKHAWK RD
LAKE PARK, MN 56554-9318
Phone number:
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