Individual
MRS. TAMMY DAWN NESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
104 20TH AVE SW STE 4, MINOT, ND 58701-6572
(701) 720-8876
Mailing address
104 20TH AVE SW STE 4, MINOT, ND 58701-6572
(701) 720-8876
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1712
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028715
BLUE CROSS BLUE SHIELD
ND
05
—
19192
—
ND
Enumeration date
10/06/2006
Last updated
09/01/2021
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