Individual
RAELYN SOLTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1010 2ND AVE S, FARGO, ND 58103-8226
(701) 234-4596
Mailing address
PO BOX 2986, FARGO, ND 58108-2986
(701) 234-4596
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3856
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50719
—
ND
Enumeration date
09/01/2016
Last updated
09/01/2016
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