Provider First Line Business Practice Location Address:
640 ATLANTIC AVE
Provider Second Line Business Practice Location Address:
COUNSELING ASSOCIATES OF WC MINNESOTA
Provider Business Practice Location Address City Name:
BENSON
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
56215-1381
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
320-843-3454
Provider Business Practice Location Address Fax Number:
320-843-4692
Provider Enumeration Date:
01/04/2007