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Individual

MRS. DEBBIE ANN LESLIE SVOBODNY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
4955 17TH AVE S STE 122, FARGO, ND 58103-3372
(701) 234-2000
Mailing address
524 12TH ST N, MOORHEAD, MN 56560-2130
(612) 214-7450

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1041C0700X
ND
Enumeration date
08/31/2017
Last updated
12/12/2022
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