Individual
KATELYN DIANE ANTONSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SWLC
Contact information
Practice address
1463 I94 BUSINESS LOOP E, DICKINSON, ND 58601-6434
(701) 227-7500
(701) 227-7575
Mailing address
1463 I94 BUSINESS LOOP E, DICKINSON, ND 58601-6434
(701) 227-7500
(701) 227-7575
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6924
ND
171M00000X
Case Manager/Care Coordinator
—
—
174400000X
Specialist
—
—
Other
Enumeration date
01/03/2025
Last updated
05/01/2025
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