Individual
NETA ISENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4909 SHELBURNE ST, BISMARCK, ND 58503-5605
(701) 223-2417
Mailing address
4909 SHELBURNE ST, BISMARCK, ND 58503-5605
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
5961
ND
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172A00000X
Driver
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1481499
—
ND
05
—
1481645
—
ND
Enumeration date
01/19/2021
Last updated
05/12/2021
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