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1336400845
MEGAN KC BENEDETT
BRAINERD, MN
NPI
1336400845
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MN 3002523)
Enumeration Date
2012-05-31
Last Update Date
2012-05-31
Business Address
MEGAN KC BENEDETT LADC
823 MAPLE ST
BRAINERD, MN 56401-3770
Phone number: 218-330-5633
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Mailing Address
MEGAN KC BENEDETT LADC
823 MAPLE ST
BRAINERD, MN 56401-3770
Phone number: 218-330-5633
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