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1720699077
LISA J BILDEAUX
GRAND RAPIDS, MN
NPI
1720699077
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MN 2561)
Enumeration Date
2020-08-11
Last Update Date
2022-11-14
Business Address
LISA J BILDEAUX MA, LPCC
516 S POKEGAMA AVE
GRAND RAPIDS, MN 55744-3800
Phone number: 218-327-2001
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Mailing Address
LISA J BILDEAUX MA, LPCC
1205 NE 7TH AVE
GRAND RAPIDS, MN 55744-3011
Phone number: 218-327-2001
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