Individual
COLEEN R MAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2624 9TH AVE S, FARGO, ND 58103-2350
(701) 298-4500
(701) 298-4400
Mailing address
338 15TH ST S, MOORHEAD, MN 56560-3036
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
12248
MN
1041C0700X
Clinical Social Worker
Primary
2753
ND
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1016218
PREFERREDONE
MN
05
—
108218300
—
MN
01
—
111699
UCARE MINNESOTA
MN
01
—
16R44MA
BLLUE SHIELD OF MINNESOTA
FM
01
—
17786
NORTH DAKOTA BLUE SHIELD
MN
01
—
HP27801
HEALTHPARTNERS
MN
Enumeration date
06/07/2006
Last updated
09/09/2020
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