Individual
MR. LARRY J GIESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
3910 LEWIS RD NW, MANDAN, ND 58554-1361
(701) 663-8778
Mailing address
3910 LEWIS RD NW, MANDAN, ND 58554-1361
(701) 663-8778
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4754
TX
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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