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Individual

ANDIE LIDEEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
114 N HOLCOMBE AVE STE 140, LITCHFIELD, MN 55355-2348
(320) 693-2461
Mailing address
114 N HOLCOMBE AVE STE 140, LITCHFIELD, MN 55355-2348

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305382
MN

Other

Enumeration date
02/06/2019
Last updated
02/06/2019
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