Individual
LENNI ELLEN TRAVERSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
127 11TH AVE NE, MINOT, ND 58703-2462
(701) 389-2993
Mailing address
1906 E BROADWAY AVE STE 1, BISMARCK, ND 58501-4740
(701) 415-6233
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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