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1710551114
TANA RAE HOORNAERT
BISMARCK, ND
NPI
1710551114
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Former Name
TANA RAE MAXWELL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ND 1124-5-15-21a)
Enumeration Date
2021-05-19
Last Update Date
2021-05-19
Business Address
TANA RAE HOORNAERT LAPC
600 S 2ND ST
BISMARCK, ND 58504-5726
Phone number: 701-258-3780
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Mailing Address
TANA RAE HOORNAERT LAPC
600 S 2ND ST
BISMARCK, ND 58504-5726
Phone number: 701-258-3780
Copy
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