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Individual

DARRIN NIELSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LSW

Contact information

Practice address
16351 I94, HOME ON THE RANGE, SENTINEL BUTTE, ND 58654-9500
(701) 872-3745
(701) 872-3748
Mailing address
16351 I94, HOME ON THE RANGE, SENTINEL BUTTE, ND 58654-9500
(701) 872-3745
(701) 872-3748

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2045
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
27486
BS OF ND
ND
05
74029
ND
Enumeration date
03/30/2007
Last updated
07/08/2007
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