Individual
ELISABETH OLDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1310 E MAIN AVE, BISMARCK, ND 58501-4681
(701) 530-7195
Mailing address
2000 NAGEL DR, BISMARCK, ND 58501-1560
(254) 715-5593
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6052
ND
Other
Enumeration date
08/01/2023
Last updated
09/11/2025
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