Provider Information for 1780332544
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CARLA LEE SWENHAUGEN LPCC
Sex: Female
NPI: 1780332544
Last Updated: 2022-03-11
Certification Date: 2022-03-11
Certification Date: 2022-03-11
Details
Name | Value | ||||||||
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NPI | 1780332544 | ||||||||
Enumeration Date | 2022-03-11 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 2320 HIGHWAY 12 E STE 2 WILLMAR, MN 56201-5811 United States Phone: 320-905-8653 | Fax:320-214-9924 | ||||||||
Primary Practice Address | 2320 HIGHWAY 12 E STE 2 WILLMAR, MN 56201-5811 United States Phone: 320-905-8653 | Fax:320-214-9924 | ||||||||
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