Individual
SARA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1202 WESTRAC DRIVE SUITE 400, FARGO, ND 58103
(701) 551-6314
Mailing address
1202 WESTRAC DRIVE SUITE 400, FARGO, ND 58103
(701) 551-6314
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5203
ND
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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