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1285012294
AMANDA VIGNESS
FARGO, ND
NPI
1285012294
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Former Name
AMANDA CROCKETT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-05-11
Last Update Date
2022-04-14
Business Address
AMANDA VIGNESS LMAC, LADC
901 28TH ST S STE C
FARGO, ND 58103-8745
Phone number: 701-404-1100
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Mailing Address
AMANDA VIGNESS LMAC, LADC
9616 70TH AVE S
SABIN, MN 56580-9512
Phone number: 701-720-0748
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