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Individual

KATELYNN LANDIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
417 MAIN AVE STE 401, FARGO, ND 58103-1956
(701) 290-7772
Mailing address
417 MAIN AVE STE 401, FARGO, ND 58103-1956
(701) 290-7772

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
12/13/2023
Last updated
12/13/2023
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