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Individual

JUDITH A MANUSOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
460 NORTHSIDE DR NE STE 5, ALEXANDRIA, MN 56308-2355
(320) 762-8551
(320) 762-8550
Mailing address
460 NORTHSIDE DR NE STE 5, ALEXANDRIA, MN 56308-2355
(320) 762-8551
(320) 762-8550

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
00204
MN

Other

Enumeration date
02/12/2008
Last updated
02/12/2008
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