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1295123230
AMANDA M. LONGIE
BEMIDJI, MN
NPI
1295123230
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 304052)
Enumeration Date
2014-12-29
Last Update Date
2014-12-29
Business Address
Mrs. AMANDA M. LONGIE MAPC, MAHR, LADC
403 4TH ST NW SUITE 300
BEMIDJI, MN 56601-3142
Phone number: 218-444-5155
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Mailing Address
Mrs. AMANDA M. LONGIE MAPC, MAHR, LADC
PO BOX 3004
BEMIDJI, MN 56619-3004
Phone number: 218-444-5155
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