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Organization

KITTSON COUNTY DEVELOPMENTAL ACHIEVEMENT CENTER

Active
Other names
Kittson County DAC
Organization subpart
No

Provider details

NPI number
Authorized official
CORRINE RAE KARBOVIAK (DIRECTOR)
(218) 754-2225
Entity
Organization

Contact information

Practice address
102 HILL STREET, LAKE BRONSON, MN 56734
(218) 754-2225
Mailing address
102 HILL STREET, PO BOX 54, LAKE BRONSON, MN 56734
(218) 754-2225

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
801303
MN

Other

Enumeration date
07/10/2008
Last updated
07/10/2008
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