Individual
MRS. SHERA JEAN BRANDVOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED SOCIAL WORK
Contact information
Practice address
420 4TH AVE NE, DEVILS LAKE, ND 58301-2418
(701) 662-4913
Mailing address
420 4TH AVE NE, DEVILS LAKE, ND 58301-2418
(701) 662-4913
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3702
ND
Other
Enumeration date
07/16/2008
Last updated
07/16/2008
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