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1801958897
HOLLY JEAN LINE
BRAINERD, MN
NPI
1801958897
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MN cc00002)
Enumeration Date
2006-12-15
Last Update Date
2010-01-08
Business Address
Mrs. HOLLY JEAN LINE LPCC
520 NW 5TH ST
BRAINERD, MN 56401-2902
Phone number: 218-829-3235
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Mailing Address
Mrs. HOLLY JEAN LINE LPCC
31121 HILLSIDE PASS
BREEZY POINT, MN 56472-3820
Phone number: 218-562-5804
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