Organization
BOTTINEAU COUNTY SOCIAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY JENSEN LSW (DIRECTOR II)
(701) 228-3613
Entity
Organization
Contact information
Practice address
314 5TH ST W, STE 1, BOTTINEAU, ND 58318-1204
(701) 228-3613
(701) 228-3600
Mailing address
314 5TH ST W, STE 1, BOTTINEAU, ND 58318-1204
(701) 228-3613
(701) 228-3600
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00050715
—
ND
Enumeration date
05/01/2014
Last updated
05/01/2014
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