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1669021895
MARY LYNN WIDSETH
SAINT CLOUD, MN
NPI
1669021895
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MN 2100)
Enumeration Date
2019-09-10
Last Update Date
2019-09-10
Business Address
MARY LYNN WIDSETH LPC
2700 1ST ST N # 204
SAINT CLOUD, MN 56303-4256
Phone number: 320-250-7997
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Mailing Address
MARY LYNN WIDSETH LPC
828 22ND AVE N
SAINT CLOUD, MN 56303-2503
Phone number: 320-250-7997
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