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Organization
MINNESOTA STATE UNIVERSITY MOORHEAD
Active
Organization
MINNESOTA STATE UNIVERSITY MOORHEAD
Active
Other names
Community Outreach Center
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN LEE ERIE LPC (CLINIC COORDINATOR)
(218) 477-2506
Entity
Organization
Contact information
Practice address
113 LOMMEN, 1104 7TH AVE S, MOORHEAD, MN 56563-1013
(218) 477-2506
Mailing address
113 LOMMEN, 1104 7TH AVE S, MOORHEAD, MN 56563-1013
(218) 477-2506
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
103T00000X
Psychologist
—
—
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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