# DEERE WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174474506
- **Authorized official:** KYLIE DEERE LCSW (OWNER)
- **Authorized official phone:** (218) 988-0062

## Contact information

- **Practice address:** 3001 32ND AVE S STE E, GRAND FORKS, ND 58201-6021
- **Practice address phone:** (218) 988-0062
- **Mailing address:** 3001A 32ND AVE S STE 3A, GRAND FORKS, ND 58201-6067
- **Mailing address phone:** (701) 757-0743

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 02/03/2026
- **Last updated:** 04/28/2026
