Individual
TRACY M FOLDESI-PENAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
100 4TH ST S, FARGO, ND 58103-1929
(701) 234-3100
(701) 234-3120
Mailing address
100 4TH ST S, FARGO, ND 58103-1929
(701) 234-3100
(701) 234-3120
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1570
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19132
—
ND
05
—
895857200
—
MN
Enumeration date
07/16/2006
Last updated
11/10/2008
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