Individual
CHARLENE NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
921 2ND AVE S, FARGO, ND 58103-1705
(701) 318-8204
Mailing address
1050 RIVERVIEW DR, VALLEY CITY, ND 58072-3807
(701) 840-0988
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
11/22/2024
Last updated
11/22/2024
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