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Individual

KATRINA GROVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
3911 20TH AVE S, FARGO, ND 58103-4705
(701) 271-1613
Mailing address
2777 47TH ST S APT 209, FARGO, ND 58104-8550
(701) 659-0793

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
08/14/2019
Last updated
11/08/2023
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