Individual
NANCY K KUJAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW LADC
Contact information
Practice address
1111 GATEWAY DR NE, EAST GRAND FORKS, MN 56721-2620
(218) 793-0420
Mailing address
1111 GATEWAY DR NE, EAST GRAND FORKS, MN 56721-2620
(218) 793-0420
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302314
MN
1041C0700X
Clinical Social Worker
17876
MN
Other
Enumeration date
05/13/2008
Last updated
07/14/2014
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