Individual
AMANDA BURNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 32ND AVE S, FARGO, ND 58103-5800
(701) 234-3144
Mailing address
2400 32ND AVE S, FARGO, ND 58103-5800
(701) 234-3144
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
24036
MN
104100000X
Social Worker
5332
ND
1041C0700X
Clinical Social Worker
Primary
5332
ND
Other
Enumeration date
07/19/2016
Last updated
06/02/2021
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