Individual
SADIE PAMELA KIESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
222 UNIVERSITY AVE, WILLISTON, ND 58801-5658
(701) 421-7640
Mailing address
222 UNIVERSITY AVE, WILLISTON, ND 58801-5658
(701) 444-3661
(701) 444-6436
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6331
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1460241
—
ND
Enumeration date
04/26/2018
Last updated
09/28/2023
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