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Individual

KAYLA ELAINE DURAND-GOHEEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
21 MAIN ST S STE 201, MINOT, ND 58701-3872
(701) 355-6800
Mailing address
4225 27TH ST SE, MINOT, ND 58701-3064
(701) 240-9559

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5316
ND
1041C0700X
Clinical Social Worker
5316
ND

Other

Enumeration date
09/27/2021
Last updated
09/29/2022
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