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1871047043
LAURA CORMICAN
BEMIDJI, MN
NPI
1871047043
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MN 302793)
Enumeration Date
2016-08-05
Last Update Date
2016-08-05
Business Address
LAURA CORMICAN
722 15TH ST NW
BEMIDJI, MN 56601-2528
Phone number: 218-751-3280
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Mailing Address
LAURA CORMICAN
722 15TH ST NW
BEMIDJI, MN 56601-2528
Phone number: 218-751-3280
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