Individual
BRUCE F ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
1900 8TH AVE SE, MINOT, ND 58701-4935
(701) 418-8000
Mailing address
PO BOX 5010, MINOT, ND 58702-5010
(701) 418-8000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
1457
ND
1041C0700X
Clinical Social Worker
1457
ND
1041S0200X
School Social Worker
Primary
1457
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54517
—
ND
Enumeration date
10/06/2006
Last updated
09/23/2025
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