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1649547589
MARY DARLENE MILLICENT
BRAINERD, MN
NPI
1649547589
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MN 16030)
Enumeration Date
2011-11-21
Last Update Date
2011-11-21
Business Address
Ms. MARY DARLENE MILLICENT LICSW
520 NW 5TH ST
BRAINERD, MN 56401-2902
Phone number: 218-829-3235
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Mailing Address
Ms. MARY DARLENE MILLICENT LICSW
11 1ST ST SE PO BOX 32
RICE, MN 56367-8857
Phone number: 320-828-1092
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