Individual
MRS. AIDA BADRAN WAKEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 DEMERS AVE STE 301, GRAND FORKS, ND 58201-4599
(701) 746-9341
(701) 746-1136
Mailing address
600 DEMERS AVE STE 301, GRAND FORKS, ND 58201-4599
(701) 746-9341
(701) 746-1136
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
995
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19143
—
ND
01
—
5G324WA
BCBS MN
MN
01
—
6257044
UBH
—
01
—
A006
WPS
—
01
—
BAD24778
BCBS ND
ND
Enumeration date
07/19/2006
Last updated
07/09/2007
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