Individual
MARLENE SORUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.S.W.
Contact information
Practice address
1010 2ND AVE S, FARGO, ND 58103-8226
(701) 239-6772
(701) 241-5775
Mailing address
1010 2ND AVE S, FARGO, ND 58103-8226
(701) 239-6772
(701) 241-5775
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
595
ND
Other
Enumeration date
04/24/2014
Last updated
04/24/2014
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