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Individual

ANTHONY M WENTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LAC

Contact information

Practice address
7448 68TH AVE. NE, CANDO, ND 58324
(701) 968-4056
(701) 968-4456
Mailing address
413 4TH ST NE STE 1, DEVILS LAKE, ND 58301-2542
(701) 665-3263

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1914
ND
104100000X
Social Worker
6940
ND

Other

Enumeration date
10/13/2021
Last updated
06/13/2025
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