Individual
KATHERINE BROWN DUSENBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2808 17TH AVE S, GRAND FORKS, ND 58201
(701) 746-8376
(701) 746-9872
Mailing address
2808 17TH AVE S, GRAND FORKS, ND 58201-4010
(701) 746-8376
(701) 746-9872
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4021
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027727
BCBS PROVIDER NUMBER
ND
05
—
054519
—
ND
Enumeration date
11/15/2006
Last updated
09/05/2018
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