Provider First Line Business Practice Location Address:
215 N CEDAR ST
Provider Second Line Business Practice Location Address:
BETHESDA CHRISTIAN COUNSELING
Provider Business Practice Location Address City Name:
LUVERNE
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
56156-1626
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-463-4005
Provider Business Practice Location Address Fax Number:
605-334-7752
Provider Enumeration Date:
08/10/2005