Individual
MS. REBEKAH HOOTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
513 E BISMARCK EXPY, BISMARCK, ND 58504-6577
(701) 255-2773
Mailing address
1120 LARAMIE DR, BISMARCK, ND 58504-6373
(701) 222-1952
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
4253
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74141
—
ND
Enumeration date
05/27/2010
Last updated
05/27/2010
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