Individual
MADDISON HAWES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1202 WESTRAC DR S STE 100, FARGO, ND 58103-2356
(701) 551-6323
Mailing address
1202 WESTRAC DR S STE 100, FARGO, ND 58103-2356
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5492
ND
Other
Enumeration date
08/09/2017
Last updated
08/09/2017
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