Individual
SHADOE SVEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1319 2ND AVE W, #104, WILLISTON, ND 58801-4164
(701) 572-7650
(701) 572-7656
Mailing address
1319 2ND AVE W, #104, WILLISTON, ND 58801-4164
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5310
ND
Other
Enumeration date
06/10/2016
Last updated
06/10/2016
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