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General NPI Number Information
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NPI Number | 1174905178
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Entity Type | Organization
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Legal Business Name | STRENGTHENING CONNECTIONS, LLC
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Dates
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Enumeration Date | 06/25/2015
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Last Update Date | 06/25/2015
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Provider Practice Location Address
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Address Line | 14041 BURNHAVEN DR STE 145
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City | BURNSVILLE
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State | MN
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Zip | 55337-4408
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Country | US
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Telephone | 612-978-6219
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Fax |
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Provider Business Mailing Address
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Address Line | 130 DAKOTA AVE
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City | NEW MARKET
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State | MN
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Zip | 55054-5401
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Country | US
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Telephone | 612-978-6219
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Fax |
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Authorized Official
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Title or Position | LMFT
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Name | LESLIE JOANNE WIGHT
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Credential | MS
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Telephone | 612-978-6219
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 2759
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License Number State | MN
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