Individual
KENNETH FLANAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1351 PAGE DR S STE 202, FARGO, ND 58103-3536
(701) 353-9979
(701) 212-1700
Mailing address
1351 PAGE DR S STE 202, FARGO, ND 58103-3536
(701) 353-9979
(701) 212-1700
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4497
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4497
LICENSE
ND
Enumeration date
06/19/2015
Last updated
12/10/2021
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