Individual
ANN LEUTHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1644 TOM WILLIAMS DR S STE D, FARGO, ND 58104-6187
(701) 532-2149
Mailing address
1644 TOM WILLIAMS DR S STE D, FARGO, ND 58104-6187
(701) 523-2167
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
3931
ND
171M00000X
Case Manager/Care Coordinator
Primary
3931
ND
172A00000X
Driver
3931
ND
Other
Enumeration date
05/24/2007
Last updated
04/01/2025
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