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Individual

MS. LAVONNA FUCHS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4913 E ROUGHRIDER CIR, MANDAN, ND 58554-1036
(701) 328-8888
(701) 328-8900
Mailing address
4913 E ROUGHRIDER CIR, MANDAN, ND 58554-1036
(701) 426-5439

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
171M00000X
Case Manager/Care Coordinator
Primary
3567
ND
3747P1801X
Personal Care Attendant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
27505
BLUECROSS/BLUESHIELD
ND
05
74004
ND
Enumeration date
02/11/2008
Last updated
04/30/2022
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