Individual
MRS. TANYA NICHOLE STUHAUG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LSW
Contact information
Practice address
1112 NODAK DR S, SUITE 200, FARGO, ND 58103-2366
(218) 280-9545
(701) 280-9520
Mailing address
4006 2ND ST S, MOORHEAD, MN 56560-5645
(218) 287-1695
(701) 280-9520
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4061
ND
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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