Individual
DAWN M. KUNTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2405 8TH ST S STE 200, MOORHEAD, MN 56560-4224
(218) 331-4866
(218) 331-4867
Mailing address
1619 37TH AVE S, FARGO, ND 58104-6331
(701) 239-4471
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11211
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1031163
PREFERREDONE
MN
01
—
142522
UCARE MINNESOTA
MN
05
—
155532400
—
MN
01
—
23334
NORRTH DAKOTA BLUE SHIELD
ND
01
—
338S0KU
BLUE SHIELD OF MINNESOTA
MN
01
—
62-71654
UNITED BEHAVIORAL HEALTH
MN
01
—
HP35763
HEALTHPARTNERS
MN
01
—
P00261628
RAILROAD MEDICARE
MN
Enumeration date
06/04/2006
Last updated
05/14/2020
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