Individual
MS. SHANDA HAKK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3911 20TH AVE S, FARGO, ND 58103-4705
(701) 391-9961
Mailing address
1112 NODAK DR S STE 200, FARGO, ND 58103-2366
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4182
ND
Other
Enumeration date
07/31/2012
Last updated
05/05/2020
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