Individual
BRENDA SEVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1820 WALNUT ST E STE 5, DEVILS LAKE, ND 58301-3411
(701) 662-4913
(701) 662-4963
Mailing address
1820 WALNUT ST E STE 5, DEVILS LAKE, ND 58301-3411
(701) 662-4913
(701) 662-4963
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3087
ND
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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