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1457809139
BRANDY THELMA FOUNTAIN
ROSEVILLE, MN
NPI
1457809139
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-09-12
Last Update Date
2024-07-22
Business Address
BRANDY THELMA FOUNTAIN LPCC
2823 LEXINGTON AVE N APT 103
ROSEVILLE, MN 55113-2086
Phone number: 612-275-3985
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Mailing Address
BRANDY THELMA FOUNTAIN LPCC
2823 LEXINGTON AVE N APT 103
ROSEVILLE, MN 55113-2086
Phone number: 612-275-3985
Copy
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