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1770099731
SHAWNA MARIE BURNHAM
BEMIDJI, MN
NPI
1770099731
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 304730)
Enumeration Date
2017-12-28
Last Update Date
2022-07-06
Business Address
SHAWNA MARIE BURNHAM LSW, LADC
112 1ST ST W
BEMIDJI, MN 56601-4002
Phone number: 218-888-8032
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Mailing Address
SHAWNA MARIE BURNHAM LSW, LADC
112 1ST ST W
BEMIDJI, MN 56601-4002
Phone number: 218-888-8032
Copy
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