Individual
KATE SYVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-2431
Mailing address
PO BOX 2168, FARGO, ND 58107-2168
(701) 234-2119
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3902
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19349
—
ND
Enumeration date
03/24/2014
Last updated
07/17/2014
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