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1366401481
BRENDA MELISSIA ANDERSON
CROOKSTON, MN
NPI
1366401481
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Former Name
BRENDA MELISSIA MACK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 09419)
Enumeration Date
2006-03-18
Last Update Date
2007-07-08
Business Address
Mrs. BRENDA MELISSIA ANDERSON LICSW
603 BRUCE ST
CROOKSTON, MN 56716
Phone number: 218-281-3940
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Mailing Address
Mrs. BRENDA MELISSIA ANDERSON LICSW
PO BOX 603 603 BRUCE ST
CROOKSTON, MN 56716-0603
Phone number: 218-281-3940
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