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Individual

ELICE LEANNE VARNEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5653 ALPS CT NW TRLR 55, BEMIDJI, MN 56601-9091
(701) 261-9560
Mailing address
5653 ALPS CT NW TRLR 55, BEMIDJI, MN 56601-9091
(701) 261-9560

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
171W00000X
Contractor
172A00000X
Driver
343900000X
Non-emergency Medical Transport (VAN)
347C00000X
Private Vehicle
376J00000X
Homemaker

Other

Enumeration date
01/10/2022
Last updated
01/10/2022
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