Individual
KENNETH J SCHELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5201 BISHOPS BLVD S STE B, FARGO, ND 58104-7605
(812) 454-4954
Mailing address
265 PRAIRIEWOOD DR S, FARGO, ND 58103-4625
(812) 454-4954
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
34006131A
IN
1041C0700X
Clinical Social Worker
Primary
6226
ND
Other
Enumeration date
09/15/2015
Last updated
03/13/2022
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