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Individual
AMANDA OGDAHL
Active
Individual
AMANDA OGDAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC01552
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CC01552
—
MN
Enumeration date
09/08/2017
Last updated
07/31/2019
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