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1356804462
CATHERINE DISTERHAUPT
BRAINERD, MN
NPI
1356804462
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: MN CC02097)
Enumeration Date
2019-04-08
Last Update Date
2019-04-08
Business Address
CATHERINE DISTERHAUPT LPCC
823 MAPLE ST
BRAINERD, MN 56401-3770
Phone number: 218-454-3826
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Mailing Address
CATHERINE DISTERHAUPT LPCC
410 E RIVER RD APT 212
BRAINERD, MN 56401-3599
Phone number: 701-793-3772
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