Individual
NATHAN MODEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1407 24TH AVE S STE 100, GRAND FORKS, ND 58201-6761
(701) 239-3700
Mailing address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 232-3241
(701) 237-2578
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4828
ND
Other
Enumeration date
03/06/2014
Last updated
12/09/2025
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