CHRISTINE MARIE BANTA

MORRIS, MN
NPI1295852754
Entity TypeIndividual
GenderN/A
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  302328)
Enumeration Date2007-03-22
Last Update Date2019-11-25
Business Address
Mrs. CHRISTINE MARIE BANTA LADC
310 MONTANA AVE
MORRIS, MN 56267-1434
Phone number: 320-288-9138
Mailing Address
Mrs. CHRISTINE MARIE BANTA LADC
310 MONTANA AVE
MORRIS, MN 56267-1434
Phone number: 320-288-9138
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