Individual
CAITLIN STUKEL RAKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1202 WESTRAC DR S, FARGO, ND 58103-2338
(701) 551-6357
Mailing address
1202 WESTRAC DR S, FARGO, ND 58103-2338
(701) 551-6357
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5035
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5035
—
OH
Enumeration date
05/23/2019
Last updated
05/23/2019
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