Individual
DOROTHEA KINZLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2701 12TH AVE S, FARGO, ND 58103-8753
(701) 451-4900
(651) 925-0057
Mailing address
2701 12TH AVE S, FARGO, ND 58103-8753
(701) 451-4900
(651) 925-0057
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5909
ND
1041C0700X
Clinical Social Worker
Primary
5909
ND
Other
Enumeration date
05/28/2019
Last updated
04/21/2026
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