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1952636706
DAVID COLLINS
FARGO, ND
NPI
1952636706
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: ND 1597)
Enumeration Date
2009-10-13
Last Update Date
2009-10-13
Business Address
DAVID COLLINS LAC
505 40TH ST S UNIT B
FARGO, ND 58103-1184
Phone number: 701-478-8440
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Mailing Address
DAVID COLLINS LAC
4227 9TH AVE S
FARGO, ND 58103-2018
Phone number: 701-282-6561
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