Individual
PHIL J BROSSART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
520 3RD ST NW, JAMESTOWN, ND 58401-2968
(701) 253-6371
(701) 253-6400
Mailing address
PO BOX 2055, JAMESTOWN, ND 58402-2055
(701) 253-6371
(701) 253-6400
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
404
ND
Other
Enumeration date
08/25/2006
Last updated
09/23/2008
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