Individual
KATIE MARIE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LICSW
Contact information
Practice address
749 S 30TH ST APT 16, GRAND FORKS, ND 58201-4082
(701) 314-2300
(701) 291-1857
Mailing address
749 S 30TH ST APT 16, GRAND FORKS, ND 58201-4082
(701) 314-2300
(701) 291-1857
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW
ND
104100000X
Social Worker
LGSW
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467700
—
ND
Enumeration date
05/16/2016
Last updated
05/12/2025
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