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General NPI Number Information
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NPI Number | 1568693091
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Entity Type | Organization
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Legal Business Name | STEVENS COUNTY HUMAN SERVICES
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Dates
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Enumeration Date | 07/31/2009
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Last Update Date | 09/06/2019
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Provider Practice Location Address
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Address Line | 10 E HIGHWAY 28
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City | MORRIS
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State | MN
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Zip | 56267-1176
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Country | US
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Telephone | 320-589-7400
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Fax | 320-589-3972
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Provider Business Mailing Address
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Address Line | 400 COLORADO AVENUE SUITE 104
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City | MORRIS
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State | MN
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Zip | 56267
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Country | US
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Telephone | 320-208-6600
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Fax | 320-589-3972
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Authorized Official
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Title or Position | MENTAL HEALTH PROFESSIONAL/HUMAN SE
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Name | MRS. LIBERTY DAWN SLEITER
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Credential | LICSW
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Telephone | 320-208-6600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | A000075200
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License Number State | MN
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