Individual
MR. NEAL GARY TEPPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
286 GRASSY HILLS LANE, GRAND FORKS, ND 58201
(701) 772-0440
Mailing address
286 GRASSY HILLS LANE, GRAND FORKS, ND 58201
(701) 772-0440
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1380
MN
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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