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Individual

DEBORAH DIANE COLTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
411 N 4TH ST STE 10, BISMARCK, ND 58501-4078
(701) 255-1165
Mailing address
1304 COUNTY 5, GOLDEN VALLEY, ND 58541-9617
(701) 451-4900

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2625
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
19173
ND
01
27165
BCBSND
ND
Enumeration date
04/12/2007
Last updated
07/08/2007
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