Individual
MRS. HEATHER LYNN IVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LMSW
Contact information
Practice address
525 31ST AVE SW, MINOT, ND 58701-7036
(701) 347-1416
Mailing address
PO BOX 654, MINOT, ND 58702-0654
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5457
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
832383763
—
ND
Enumeration date
10/15/2018
Last updated
04/01/2025
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