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Individual

MS. LINNEA FRANCES DIETRICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
122 1ST ST. N., HACKENSACK, MN 56452
(218) 675-5101
Mailing address
4405 BUXTON RD NW, HACKENSACK, MN 56452-2192
(218) 682-2976

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1178
MN

Other

Enumeration date
10/31/2006
Last updated
07/09/2007
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