Individual
STEPHANIE BEAUDRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3103 11TH AVE S, MOORHEAD, MN 56560-6811
(701) 793-2144
Mailing address
3103 11TH AVE S, MOORHEAD, MN 56560-6811
(701) 793-2144
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1227
MN
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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