Individual
NIKKI MARIE MUNDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
315 N 11TH ST, BISMARCK, ND 58501-4539
(218) 329-7097
Mailing address
315 N 11TH ST, BISMARCK, ND 58501-4539
(218) 329-7097
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4745
ND
Other
Enumeration date
01/31/2018
Last updated
01/31/2018
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