# DANIELLE CONRAD, LICSW, PLLC

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

## Provider details

- **NPI number:** 1942755541
- **Authorized official:** DANIELLE CONRAD LICSW (OWNER/PROVIDER)
- **Authorized official phone:** (701) 738-0888

## Contact information

- **Practice address:** 1165 S COLUMBIA RD STE D, GRAND FORKS, ND 58201-4007
- **Practice address phone:** (701) 738-0888
- **Practice address fax:** (866) 345-4397
- **Mailing address:** 1165 S COLUMBIA RD STE D, GRAND FORKS, ND 58201-4007
- **Mailing address phone:** (701) 738-0888
- **Mailing address fax:** (866) 345-4397

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 3613 | ND | Yes |

## Other

- **Enumeration date:** 08/24/2016
- **Last updated:** 08/24/2016