Individual
HOLLY DUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
910 LINCOLN AVE, DETROIT LAKES, MN 56501-3500
(701) 451-4900
(701) 451-5056
Mailing address
PO BOX 9859, FARGO, ND 58106-9859
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
01689
MN
101YP2500X
Professional Counselor
543
NE
Other
Enumeration date
06/17/2015
Last updated
06/17/2015
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