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1568102788
JENNA L KAVANAGH
ALEXANDRIA, MN
NPI
1568102788
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 305726)
Enumeration Date
2022-03-29
Last Update Date
2022-03-29
Business Address
Ms. JENNA L KAVANAGH LADC
305 30TH AVE W
ALEXANDRIA, MN 56308-3429
Phone number: 320-460-8028
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Mailing Address
Ms. JENNA L KAVANAGH LADC
516 N SHORE DR APT 3
BATTLE LAKE, MN 56515-4070
Phone number: 701-261-7911
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