Organization
LIPP, CARLSON, WITUCKI & ASSOCIATES, LTD
Active
Organization
LIPP, CARLSON, WITUCKI & ASSOCIATES, LTD
Active
Other names
Lipp, Carlson, Lommen & witucki, LTD
Organization subpart
No
Provider details
NPI number
Authorized official
PRISCILLA MARTO (OFFICE MANAGER)
(701) 746-8376
Entity
Organization
Contact information
Practice address
2808 17TH AVE S, GRAND FORKS, ND 58201-4010
(701) 746-8376
(701) 746-9872
Mailing address
2808 17TH AVE S, GRAND FORKS, ND 58201-4010
(701) 746-8376
(701) 746-9872
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007089100
—
MN
05
—
10098
—
ND
Enumeration date
09/16/2006
Last updated
07/21/2022
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