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Individual

TERRI A MACHART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
300 BOUNDARY RD W # 3, CAVALIER, ND 58220-4308
(701) 265-8441
(701) 265-8058
Mailing address
300 BOUNDARY RD W # 3, CAVALIER, ND 58220-4308
(701) 265-8441
(701) 265-8058

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4477
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
50760
ND
05
79438
ND
Enumeration date
07/28/2014
Last updated
03/19/2018
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