Individual
MARY KATHRYN BURD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 330-2208
Mailing address
4920 30TH AVE S APT 312, FARGO, ND 58104-9027
(701) 330-2208
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
30468
MN
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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