Individual
DELORA A KAUTZMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.S., NCSP
Contact information
Practice address
3400 E CALGARY AVE, BISMARCK, ND 58503-1369
(701) 323-4850
(701) 323-4855
Mailing address
3400 E CALGARY AVE, BISMARCK, ND 58503-1369
(701) 323-4850
(701) 323-4855
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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