Individual
CHELSEY RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
1202 WESTRAC DR S, FARGO, ND 58103-2338
(701) 412-6723
Mailing address
1202 WESTRAC DR S, FARGO, ND 58103-2338
(701) 412-6723
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
4966
ND
1041S0200X
School Social Worker
4966
ND
171M00000X
Case Manager/Care Coordinator
Primary
4966
ND
Other
Enumeration date
05/12/2014
Last updated
08/30/2021
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