Individual
LINDA M GUNVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
BIA #152, BELCOURT, ND 58316
(701) 477-0525
Mailing address
PO BOX 1970, BELCOURT, ND 58316-1970
(701) 477-0525
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3627
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3627
LICENSED SOCIAL WORKER
ND
Enumeration date
05/25/2007
Last updated
07/08/2007
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