Individual
MRS. AMY BAKKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1112 NODAK DR S, FARGO, ND 58103-2366
(701) 280-9545
Mailing address
1112 NODAK DR S, FARGO, ND 58103-2366
(701) 280-9545
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4208
ND
Other
Enumeration date
04/25/2008
Last updated
04/25/2008
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