Individual
KORTNEY VICKIE STURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
413 3RD AVE N, WAHPETON, ND 58075-4427
(701) 642-7751
Mailing address
413 3RD AVE N, WAHPETON, ND 58075-4427
(701) 642-7751
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4534
ND
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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