Individual
ANTONIA POPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
520 CHAUTAUQUA BLVD, VALLEY CITY, ND 58072-3145
(701) 845-6000
Mailing address
520 CHAUTAUQUA BLVD, VALLEY CITY, ND 58072-3145
(701) 845-6000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5408
ND
Other
Enumeration date
01/19/2017
Last updated
01/19/2017
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