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Individual

BLAKE BENDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LMFT

Contact information

Practice address
6381 OSGOOD AVE N BLDG C, STILLWATER, MN 55082-6118
(612) 504-0073
Mailing address
918 HARRIET ST S, STILLWATER, MN 55082-5747
(651) 757-7312

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
124
WI
106H00000X
Marriage & Family Therapist
Primary
3860
MN

Other

Enumeration date
09/09/2021
Last updated
11/06/2024
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