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1922043546
CANDIS M MOCK
MINOT, ND
NPI
1922043546
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: ND 1523)
Enumeration Date
2006-06-18
Last Update Date
2007-07-08
Business Address
CANDIS M MOCK LAC
1015 S BROADWAY STE 18
MINOT, ND 58701-4667
Phone number: 701-857-8500
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Mailing Address
CANDIS M MOCK LAC
1015 S BROADWAY STE 18
MINOT, ND 58701-4667
Phone number: 701-857-8500
Copy
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