Individual
CARLA BUCHHOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
277 WEST MAIN, WEST FARGO, ND 58078
(701) 639-6240
Mailing address
27 W LYNMAR N, FARGO, ND 58102-1154
(701) 412-3972
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172A00000X
Driver
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
03/30/2023
Last updated
03/30/2023
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