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Individual

WINONAH CAMILLE MONETTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LAC, LICSW

Contact information

Practice address
1913 S WASHINGTON ST STE C, GRAND FORKS, ND 58201-6339
(701) 317-6590
Mailing address
1913 S WASHINGTON ST STE C, GRAND FORKS, ND 58201-6339
(701) 317-6590

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1721
ND
101YA0400X
Addiction (Substance Use Disorder) Counselor
305080
MN
1041C0700X
Clinical Social Worker
49948
MN
1041C0700X
Clinical Social Worker
Primary
5079
ND

Other

Enumeration date
05/18/2015
Last updated
11/12/2021
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