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1831121920
KELLY LYNN WHITE
GRAND FORKS, ND
NPI
1831121920
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ND 1309)
Enumeration Date
2006-07-07
Last Update Date
2007-07-09
Business Address
-- KELLY LYNN WHITE LAC
151 S 4TH ST SUITE 401
GRAND FORKS, ND 58201-4715
Phone number: 701-795-3000
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Mailing Address
-- KELLY LYNN WHITE LAC
151 S 4TH ST SUITE 401
GRAND FORKS, ND 58201-4715
Phone number: 701-795-3000
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