Individual
RONTRAY EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1202 28TH ST S, FARGO, ND 58103-8700
(701) 280-9545
Mailing address
1202 28TH ST S, FARGO, ND 58103-8700
(701) 280-9545
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6889
ND
171M00000X
Case Manager/Care Coordinator
—
—
174400000X
Specialist
—
—
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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