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Organization
NICODEMUS THERAPEUTIC SERVICES PLLC
Active
Organization
NICODEMUS THERAPEUTIC SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY SCOTT STARKS LCSW (THERAPIST)
(701) 500-5430
Entity
Organization
Contact information
Practice address
525 31ST AVE SW, MINOT, ND 58701-7036
(701) 355-6800
Mailing address
525 31ST AVE SW, MINOT, ND 58701-7036
(701) 500-5430
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/15/2023
Last updated
12/13/2023
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