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1376083576
SANDRA JEAN HANSON
MOORHEAD, MN
NPI
1376083576
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 300070)
Enumeration Date
2017-03-07
Last Update Date
2017-03-07
Business Address
-- SANDRA JEAN HANSON LADC
111 7TH ST S
MOORHEAD, MN 56560-2738
Phone number: 218-287-2089
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Mailing Address
-- SANDRA JEAN HANSON LADC
111 7TH ST S
MOORHEAD, MN 56560-2738
Phone number: 218-287-2089
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