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1922540111
KASSANDRA KAVANAUGH
BAXTER, MN
NPI
1922540111
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-11-06
Last Update Date
2016-11-06
Business Address
-- KASSANDRA KAVANAUGH M.S.
13045 FALCON DR SUITE 100
BAXTER, MN 56425-4201
Phone number: 218-829-9307
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Mailing Address
-- KASSANDRA KAVANAUGH M.S.
1900 SILVER LAKE RD NW SUITE 110
NEW BRIGHTON, MN 55112-1786
Phone number:
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