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1679074934
LISA ANN BECKER
SAINT CLOUD, MN
NPI
1679074934
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 303347)
Enumeration Date
2018-02-22
Last Update Date
2018-02-22
Business Address
-- LISA ANN BECKER LADC
524 25TH AVE N
SAINT CLOUD, MN 56303-3255
Phone number: 320-202-1909
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Mailing Address
-- LISA ANN BECKER LADC
524 25TH AVE N
SAINT CLOUD, MN 56303-3255
Phone number: 320-202-1909
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