Individual
VANESSA LYN DEIBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 S 12TH ST, BISMARCK, ND 58504-6644
(701) 751-0384
Mailing address
1701 S 12TH ST, BISMARCK, ND 58504-6644
(701) 751-0384
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4904
ND
Other
Enumeration date
01/14/2021
Last updated
01/14/2021
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