Individual
CASEY DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2300 LIBRARY CIR, GRAND FORKS, ND 58201-6328
(701) 757-0477
(701) 772-1763
Mailing address
2300 LIBRARY CIR, GRAND FORKS, ND 58201-6328
(701) 757-0477
(701) 772-1763
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4733
ND
Other
Enumeration date
05/11/2017
Last updated
10/12/2021
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