Individual
DIANNA LYNN GIELEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 239-3700
Mailing address
11901 88TH AVE NE, DEER RIVER, MN 56636-2750
(218) 566-1361
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10229
MN
Other
Enumeration date
02/11/2022
Last updated
02/11/2022
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