Individual
MRS. ELIZABETH ANNE CONKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1112 NODAK DR S, FARGO, ND 58103-2366
(701) 232-6224
(701) 232-4687
Mailing address
1112 NODAK DR S, FARGO, ND 58103-2366
(701) 232-6224
(701) 232-4687
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4099
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1454929
—
ND
Enumeration date
09/26/2012
Last updated
04/08/2020
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