Individual
JENNIFER KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1726 S WASHINGTON ST, SUITE 33A, GRAND FORKS, ND 58201-6370
(701) 746-7584
(701) 746-1239
Mailing address
1201 25TH ST S, PO BOX 9859, FARGO, ND 58103-2311
(701) 746-4584
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
15556
MN
104100000X
Social Worker
Primary
3965
ND
Other
Enumeration date
01/20/2010
Last updated
01/20/2010
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