Organization
SANFORD CLINIC NORTH
Active
Other names
Sanford Professional Building
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA K LECLERC (VP)
(701) 234-6248
Entity
Organization
Contact information
Practice address
100 4TH ST S, FARGO, ND 58103-1929
(701) 234-3100
(701) 234-3120
Mailing address
100 4TH ST S, FARGO, ND 58103-1929
(701) 234-3100
(701) 234-3120
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
07/27/2007
Last updated
11/27/2023
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