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Individual

MS. LINDA F DUCKWITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW, LAC

Contact information

Practice address
816 3RD AVE N, FORT TOTTEN, ND 58335-9998
(701) 766-4236
(701) 766-4878
Mailing address
PO BOX 398, FORT TOTTEN, ND 58335-0398
(701) 476-0497
(701) 766-4878

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1024
ND
101YM0800X
Mental Health Counselor
Primary
814
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
19182
ND
01
27599
BC/BS ND
ND
01
27600
BC/BS ND
ND
Enumeration date
01/31/2008
Last updated
01/31/2008
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