Organization
ITS A PART OF PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDYN A KOSKI LCSW (OWNER AND MENTAL HEALTH THERAPIST)
(218) 230-4529
Entity
Organization
Contact information
Practice address
5147 44TH ST SOUTH, OFFICE #5, FARGO, ND 58104-5810
(701) 369-3181
Mailing address
10134 BURGUNDY DR, HORACE, ND 58047-9007
(218) 230-4529
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/05/2023
Last updated
05/05/2023
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