Individual
DAVID KOSMATKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1601 COLLEGE DR N, DEVILS LAKE, ND 58301-1550
(701) 351-0593
Mailing address
1601 COLLEGE DR N, DEVILS LAKE, ND 58301-1550
(701) 351-0593
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2909
ND
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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