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1841365053
JACQUELINE M HERSRUD
FARGO, ND
NPI
1841365053
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ND 1542)
Enumeration Date
2006-11-22
Last Update Date
2012-12-10
Business Address
Mrs. JACQUELINE M HERSRUD LAC, LADC, M.Ed
1202 23 ST S
FARGO, ND 58103
Phone number: 701-293-5429
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Mailing Address
Mrs. JACQUELINE M HERSRUD LAC, LADC, M.Ed
1202 23 ST S
FARGO, ND 58103
Phone number: 701-293-5429
Copy
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