Individual
NAOMI ELIZABETH ERKENBRACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1112 NODAK DR S, FARGO, ND 58103-2366
(701) 232-6224
(701) 232-4687
Mailing address
1112 NODAK DR S, FARGO, ND 58103-2366
(701) 232-6224
(701) 232-4687
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
3589
ND
1041C0700X
Clinical Social Worker
Primary
3589
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1455361
—
ND
01
—
470653
BEACON HEALTH OPTIONS
ND
Enumeration date
02/21/2007
Last updated
12/08/2020
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