Individual
MS. AMANDA R REUSCHLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
6301 19TH AVE NW, MINOT, ND 58703
(701) 857-4232
(701) 852-1190
Mailing address
PO BOX 5007, MINOT, ND 58702-5007
(701) 857-4232
(701) 852-1190
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3592
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26860
BLUE SHIELD
ND
05
—
74022
—
ND
Enumeration date
10/12/2006
Last updated
01/24/2014
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