Danielle Conrad, Licsw, Pllc | |
1165 S Columbia Rd Ste D Grand Forks ND 58201-4007 | |
(701) 738-0888 | |
(866) 345-4397 |
Full Name | Danielle Conrad, Licsw, Pllc |
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Speciality | Social Worker - Clinical |
Location | 1165 S Columbia Rd Ste D, Grand Forks, North Dakota |
Authorized Official Name and Position | Danielle Conrad (OWNER/PROVIDER) |
Authorized Official Contact | 7017380888 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Danielle Conrad, Licsw, Pllc 1165 S Columbia Rd Ste D Grand Forks ND 58201-4007 Ph: (701) 738-0888 | Danielle Conrad, Licsw, Pllc 1165 S Columbia Rd Ste D Grand Forks ND 58201-4007 Ph: (701) 738-0888 |
NPI Number | 1942755541 |
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Provider Enumeration Date | 08/24/2016 |
Last Update Date | 08/24/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942755541 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 3613 (North Dakota) | Primary |
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