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Individual

MS. MARINDA LEE KURPIUS-BROCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED., LPCC

Contact information

Practice address
120 8TH ST S, FARGO, ND 58103-1823
(701) 234-5000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
2607
MN
101Y00000X
Counselor
909-8-1-17-422
ND
101YP2500X
Professional Counselor
2607
MN
101YP2500X
Professional Counselor
Primary
909-8-1-17-422
ND

Other

Enumeration date
11/22/2021
Last updated
11/15/2022
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