Individual
AMANDA HAVELANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
151 S 4TH ST STE 401, GRAND FORKS, ND 58201-4715
(701) 795-3000
Mailing address
2624 9TH AVE S, FARGO, ND 58103-2350
(701) 298-4500
(701) 298-4400
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5740
ND
Other
Enumeration date
09/09/2019
Last updated
12/27/2024
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