Organization
DIONNE L SPOONER, LICSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIONNE LYNN SPOONER LCSW (OWNER)
(701) 721-8978
Entity
Organization
Contact information
Practice address
10 3RD AVE SW STE 206, MINOT, ND 58701-3893
(701) 721-8978
Mailing address
10430 COUNTY ROAD 15 W, MINOT, ND 58703-9629
(701) 721-8978
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1461742
—
ND
Enumeration date
09/06/2019
Last updated
09/27/2019
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