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Organization

THRIVEWORKS CLINICAL - NORTH DAKOTA PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANTHONY CENTORE CEO (CEO)
(540) 217-6461
Entity
Organization

Contact information

Practice address
3245 42ND ST S STE 100, FARGO, ND 58104-7178
(855) 284-7483
Mailing address
PO BOX 748465, ATLANTA, GA 30374-8465
(855) 284-7483

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
02/10/2023
Last updated
02/10/2023
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