Individual
MR. MARK ALAN ROHRER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
6046 14TH ST S, FARGO, ND 58104-7340
(701) 404-0997
(701) 566-8876
Mailing address
6046 14TH ST S, FARGO, ND 58104-7340
(701) 404-0997
(701) 566-8876
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
606
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
606
STATE LICENSE NMBR LICSW
ND
Enumeration date
08/30/2006
Last updated
10/19/2021
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