Individual
RANAE BICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 232-3241
(701) 237-2642
Mailing address
1518 5TH AVE S, FARGO, ND 58103-1540
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2984
ND
Other
Enumeration date
07/22/2006
Last updated
07/08/2007
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