Organization
REBECCA KOPP DUNHAM PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA KOPP DUNHAM LCSW (PRESIDENT)
(701) 715-5214
Entity
Organization
Contact information
Practice address
6046 14TH ST S, FARGO, ND 58104-7340
(701) 404-0997
(701) 566-8876
Mailing address
6046 14TH ST S, FARGO, ND 58104-7340
(701) 404-0997
(701) 566-8876
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/03/2021
Last updated
10/05/2021
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