Individual
DEBORAH A TANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 15TH ST N, ELLENDALE, ND 58436-7600
(701) 349-3271
(701) 349-3277
Mailing address
PO BOX 279, 205 15TH ST. N, ELLENDALE, ND 58436-0279
(701) 349-3271
(701) 349-3277
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3833
ND
171M00000X
Case Manager/Care Coordinator
3833
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000079474
—
ND
Enumeration date
05/07/2014
Last updated
05/07/2014
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