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Individual

MARCI KLIGMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
200 HIGHWAY 2 W, DEVILS LAKE, ND 58301-3532
(701) 665-2200
(701) 665-2300
Mailing address
PO BOX 650, 200 HIGHWAY 2 WEST, DEVILS LAKE, ND 58301-0650
(701) 665-2200
(701) 665-2300

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
955
AK
1041C0700X
Clinical Social Worker
Primary
4717
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MH1413
AK
Enumeration date
02/18/2010
Last updated
08/06/2012
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