Individual
CHARLES A SUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
860 S COLUMBIA RD, GRAND FORKS, ND 58201-4028
(701) 780-6697
Mailing address
PO BOX 6002, GRAND FORKS, ND 58206-6002
(701) 780-5000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
303
ND
Other
Enumeration date
10/05/2006
Last updated
10/26/2007
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