| Nicholas J. Gard, Licsw, Pllc | |
|
1500 30th Ave S Ste C Moorhead MN 56560-5146 | |
| (701) 516-8100 | |
| Not Available |
| Full Name | Nicholas J. Gard, Licsw, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1500 30th Ave S Ste C, Moorhead, Minnesota |
| Authorized Official Name and Position | Nicholas Gard (OWNER) |
| Authorized Official Contact | 7015168100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas J. Gard, Licsw, Pllc 1500 30th Ave S Ste C Moorhead MN 56560-5146 Ph: (701) 516-8100 | Nicholas J. Gard, Licsw, Pllc 1500 30th Ave S Ste C Moorhead MN 56560-5146 Ph: (701) 516-8100 |
| NPI Number | 1750928842 |
|---|---|
| Provider Enumeration Date | 12/08/2019 |
| Last Update Date | 12/08/2019 |
| Certification Date | 12/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750928842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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