Individual
MIKENZIE ECKROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1220 SHEYENNE ST, WEST FARGO, ND 58078-2637
(701) 234-4445
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
5615
ND
1041C0700X
Clinical Social Worker
Primary
5615
ND
Other
Enumeration date
04/12/2023
Last updated
01/24/2025
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