Individual
JENNIFER THORESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1010 2ND AVE S, FARGO, ND 58103-8226
(701) 241-5765
(701) 241-5775
Mailing address
1010 2ND AVE S, FARGO, ND 58103-8226
(701) 241-5765
(701) 241-5775
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2796
ND
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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