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Individual

JENNIFER KIZIMA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
600 22ND AVE NW STE B4, MINOT, ND 58703-0986
(701) 720-7733
Mailing address
PO BOX 3339, MINOT, ND 58702-3339
(701) 720-7733

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4454
ND

Other

Enumeration date
04/16/2014
Last updated
02/02/2024
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