Individual
MISS TATUM R TRAUTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC, LCSW
Contact information
Practice address
2624 9TH AVE S, SOUTHEAST HUMAN SERVICE CENTER, FARGO, ND 58103
(701) 298-4500
(701) 298-4400
Mailing address
2624 9TH AVE S, SOUTHEAST HUMAN SVC CTR, FARGO, ND 58103
(701) 298-4500
(701) 298-4400
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1670
ND
Other
Enumeration date
04/16/2012
Last updated
04/16/2012
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