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3883 74th Ave Ne Fort Totten ND 58335 | |
(701) 766-1600 | |
(701) 766-1630 |
Full Name | |
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Speciality | Social Worker - Clinical |
Location | 3883 74th Ave Ne, Fort Totten, North Dakota |
Authorized Official Name and Position | Michelle Belt (CEO) |
Authorized Official Contact | 7017661600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 309 Fort Totten ND 58335-0309 Ph: (701) 766-1600 | 3883 74th Ave Ne Fort Totten ND 58335 Ph: (701) 766-1600 |
NPI Number | 1144771650 |
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Provider Enumeration Date | 10/19/2016 |
Last Update Date | 10/19/2016 |
Identifier | Type | State | Issuer |
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1144771650 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |