Individual
DARLA J STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1800 E INTERSTATE AVE STE B, BISMARCK, ND 58503-1566
(701) 323-6543
(701) 323-5492
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(701) 323-6000
(701) 323-5709
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1787
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19107
—
ND
Enumeration date
10/19/2006
Last updated
08/21/2020
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