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1437658606
THEODORE ROBERT HIDDING
BAXTER, MN
NPI
1437658606
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MN 1742)
Enumeration Date
2018-02-02
Last Update Date
2018-06-06
Business Address
THEODORE ROBERT HIDDING LPCC
13968 CYPRESS DR STE 1A
BAXTER, MN 56425
Phone number: 218-454-1082
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Mailing Address
THEODORE ROBERT HIDDING LPCC
13968 CYPRESS DR STE 1A
BAXTER, MN 56425-5904
Phone number: 218-454-1082
Copy
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