Individual
GLORIA JEAN KERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 239-3779
(701) 237-2643
Mailing address
1908 BURLINGTON DR, APT A1, WEST FARGO, ND 58078-4337
(701) 237-2643
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2588
ND
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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