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General NPI Number Information
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NPI Number | 1326809344
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Entity Type | Organization
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Legal Business Name | ANGIE MONSON THERAPY SERVICES, LLC
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Dates
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Enumeration Date | 01/17/2024
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Last Update Date | 01/17/2024
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Provider Practice Location Address
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Address Line | 25282 HAZELWOOD DR
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City | NISSWA
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State | MN
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Zip | 56468-2797
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Country | US
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Telephone | 218-820-8347
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Fax |
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Provider Business Mailing Address
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Address Line | 11943 PEPPERIDGE RD
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City | BRAINERD
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State | MN
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Zip | 56401-5818
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Country | US
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Telephone | 218-251-5060
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Fax |
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Authorized Official
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Title or Position | LMFT
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Name | ANGIE MONSON
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Credential | MS
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Telephone | 218-251-5060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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