Individual
SUSAN ANN MOE PAULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
340 DIVISION AVE, GRAND FORKS, ND 58201-4702
(218) 791-4336
Mailing address
340 DIVISION AVE, GRAND FORKS, ND 58201-4702
(218) 791-4336
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
01/12/2023
Last updated
01/12/2023
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