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Individual

DOUGLAS WEGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
309 MILLIONAIRE AVE, MOTT, ND 58646-7267
(701) 824-3276
(701) 824-2820
Mailing address
309 MILLIONAIRE AVE, MOTT, ND 58646-7267
(701) 824-3276
(701) 824-2820

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
235
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000079077
ND
Enumeration date
02/05/2014
Last updated
02/05/2014
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