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1780867911
MINDY MANOCK
FARGO, ND
NPI
1780867911
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ND 1563)
Enumeration Date
2007-12-11
Last Update Date
2007-12-11
Business Address
-- MINDY MANOCK LAC
510 4TH ST S
FARGO, ND 58103-1914
Phone number: 701-476-7200
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Mailing Address
-- MINDY MANOCK LAC
510 4TH ST S
FARGO, ND 58103-1914
Phone number: 701-476-7200
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