Individual
WANDA LYNN CROWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 28TH ST S STE C, FARGO, ND 58103-8745
(701) 404-1100
(701) 540-6498
Mailing address
901 28TH ST S STE C, FARGO, ND 58103-8745
(701) 404-1100
(701) 540-6498
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1651
ND
101YA0400X
Addiction (Substance Use Disorder) Counselor
303561
MN
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/21/2008
Last updated
03/31/2022
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