Individual
ABIGAIL ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2902 UNIVERSITY DR S, FARGO, ND 58103-6032
(701) 232-3301
Mailing address
2902 UNIVERSITY DR S, FARGO, ND 58103-6032
(701) 232-3301
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5465
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013285337
NPI
—
05
—
1466330
—
ND
Enumeration date
03/14/2022
Last updated
03/14/2022
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