Individual
TIM HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
520 3RD ST NW, BOX 2055, JAMESTOWN, ND 58401-2968
(701) 253-6300
(701) 253-6400
Mailing address
1609 7TH AVE NE, JAMESTOWN, ND 58401-2518
(701) 320-7005
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4148
ND
Other
Enumeration date
09/22/2010
Last updated
08/15/2011
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