Individual
JUSTIN LERVIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
211 ELM ST. N, 122, FARGO, ND 58102
(701) 388-2709
Mailing address
211 ELM ST. N, 122, FARGO, ND 58102
(701) 388-2709
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4888
ND
Other
Enumeration date
01/21/2015
Last updated
01/21/2015
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