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1871217927
AUDREY JEAN KORTZ
FERGUS FALLS, MN
NPI
1871217927
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MN 305096)
Enumeration Date
2022-10-03
Last Update Date
2022-10-03
Business Address
AUDREY JEAN KORTZ LADC
119 FRIBERG AVE
FERGUS FALLS, MN 56537-2306
Phone number: 218-332-2018
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Mailing Address
AUDREY JEAN KORTZ LADC
1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON, MN 55112-1789
Phone number: 651-628-9566
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