Individual
TWYLA ANN NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LGSW
Contact information
Practice address
3401 45TH ST S, FARGO, ND 58104-8970
(701) 356-4384
(701) 356-4383
Mailing address
1201 25TH ST S, FARGO, ND 58103-2311
(701) 451-4900
(651) 925-0057
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
28445
MN
104100000X
Social Worker
Primary
5822
ND
Other
Enumeration date
09/23/2019
Last updated
04/14/2021
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