Individual
DONAL M ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
1010 2ND AVE S, FARGO, ND 58103-8226
(701) 239-6775
Mailing address
PO BOX 3106, FARGO, ND 58108-3106
(701) 239-6775
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5272
ND
Other
Enumeration date
04/09/2018
Last updated
04/09/2018
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