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Individual

JUDITH A EWONIUK-KUZEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSSW LAC

Contact information

Practice address
151 SOUTH 4TH STREET, SUITE 401, GRAND FORKS, ND 58201-4735
(701) 795-3000
(701) 795-3050
Mailing address
151 SOUTH 4TH STREET, SUITE 401, GRAND FORKS, ND 58201-4735
(701) 795-3000
(701) 795-3050

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1256
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
009138
BC
ND
05
054519
ND
01
9G414KU
BC
MN
Enumeration date
08/28/2006
Last updated
07/08/2007
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