Individual
MALLORY NYGAARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2700 STATE ST # 5, BISMARCK, ND 58503-0669
(701) 200-1057
Mailing address
5100 DRIFTWOOD LN, BISMARCK, ND 58503-8875
(701) 471-2098
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5469
ND
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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