| Dionne L Spooner, Licsw | |
|
10 3rd Ave Sw Ste 206 Minot ND 58701-3893 | |
| (701) 721-8978 | |
| Not Available |
| Full Name | Dionne L Spooner, Licsw |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 10 3rd Ave Sw Ste 206, Minot, North Dakota |
| Authorized Official Name and Position | Dionne Lynn Spooner (OWNER) |
| Authorized Official Contact | 7017218978 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dionne L Spooner, Licsw 10430 County Road 15 W Minot ND 58703-9629 Ph: (701) 721-8978 | Dionne L Spooner, Licsw 10 3rd Ave Sw Ste 206 Minot ND 58701-3893 Ph: (701) 721-8978 |
| NPI Number | 1770132284 |
|---|---|
| Provider Enumeration Date | 09/06/2019 |
| Last Update Date | 09/27/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770132284 | NPI | - | NPPES |
| 1461742 | Medicaid | ND |
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