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Individual

AVERY RICHARD LUFT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
151 S 4TH ST STE 401, GRAND FORKS, ND 58201
(701) 795-3000
(701) 795-3050
Mailing address
151 S 4TH ST STE 401, GRAND FORKS, ND 58201-4715
(701) 795-3000
(701) 795-3050

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
5172
ND
1041C0700X
Clinical Social Worker
Primary
5172
ND

Other

Enumeration date
10/27/2017
Last updated
07/10/2018
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