Individual
KATELYN WOLD-CLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
891 BELSLY BLVD, MOORHEAD, MN 56560-5055
(218) 287-4338
(218) 287-5928
Mailing address
1202 WESTRAC DR S, FARGO, ND 58103-2338
(701) 261-3723
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
174400000X
Specialist
—
—
Other
Enumeration date
03/11/2020
Last updated
07/21/2022
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