Individual
EMILY C GARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-2371
Mailing address
PO BOX 2168, FARGO, ND 58107-2168
(701) 234-2119
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4373
ND
Other
Enumeration date
08/12/2013
Last updated
04/08/2014
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