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1700074341
LORI JILL CHARBONNEAU
MANDAN, ND
NPI
1700074341
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ND 1526)
Enumeration Date
2007-10-09
Last Update Date
2022-09-12
Business Address
LORI JILL CHARBONNEAU LICSW
2401 46TH AVE SE STE 201
MANDAN, ND 58554-4829
Phone number: 701-699-4052
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Mailing Address
LORI JILL CHARBONNEAU LICSW
3425 HEARTWOOD CIR SE
MANDAN, ND 58554-6245
Phone number: 701-871-0490
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