Individual
DIANE SOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
151 S 4TH ST, GRAND FORKS, ND 58201-4715
(701) 741-5853
Mailing address
2150 47TH AVE S APT 451, GRAND FORKS, ND 58201-3621
(701) 741-5853
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
3286
ND
1041C0700X
Clinical Social Worker
Primary
3286
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74249
—
ND
Enumeration date
08/29/2014
Last updated
11/12/2024
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