Individual
KELSEY MOORHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3911 20TH AVE S, FARGO, ND 58103-4705
(701) 318-2728
Mailing address
3911 20TH AVE S, FARGO, ND 58103-4705
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5748
ND
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
04/30/2020
Last updated
04/30/2020
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