| Its A Part Of Pllc | |
|
5147 44th St South Office #5 Fargo ND 58104-5810 | |
| (701) 369-3181 | |
| Not Available |
| Full Name | Its A Part Of Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5147 44th St South, Fargo, North Dakota |
| Authorized Official Name and Position | Jordyn A Koski (OWNER AND MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 2182304529 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Its A Part Of Pllc 10134 Burgundy Dr Horace ND 58047-9007 Ph: (218) 230-4529 | Its A Part Of Pllc 5147 44th St South Office #5 Fargo ND 58104-5810 Ph: (701) 369-3181 |
| NPI Number | 1215626197 |
|---|---|
| Provider Enumeration Date | 05/05/2023 |
| Last Update Date | 05/05/2023 |
| Certification Date | 04/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215626197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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