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Organization
ENDAZHI-NITAAWIGING
Active
Organization
ENDAZHI-NITAAWIGING
Active
Other names
Endazhi-Nitaawiging
Organization subpart
No
Provider details
NPI number
Authorized official
SYLVIA FRED (DIRECTOR OF OPERATIONS)
(218) 308-4164
Entity
Organization
Contact information
Practice address
25065 HWY 1 WEST, RED LAKE, MN 56671
(218) 308-4164
Mailing address
25065 HWY 1 WEST, RED LAKE, MN 56671
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YS0200X
School Counselor
—
—
103K00000X
Behavior Analyst
—
—
103TS0200X
School Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
1041S0200X
School Social Worker
—
—
163WS0200X
School Registered Nurse
—
—
261QS1000X
Student Health Clinic/Center
Primary
—
—
363LS0200X
School Nurse Practitioner
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
03/10/2023
Last updated
03/10/2023
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