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Individual

CHRISRETHA HOWARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2624 9TH AVE S, FARGO, ND 58103-2350
(701) 298-4500
(701) 298-4400
Mailing address
1547 30TH AVE S, MOORHEAD, MN 56560-5149

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
174400000X
Specialist

Other

Enumeration date
06/17/2022
Last updated
12/30/2022
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