Individual
KINGSLEY DOHNWANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1126 MARLYS DR W, WEST FARGO, ND 58078-2956
(701) 541-9073
Mailing address
1126 MARLYS DR W, WEST FARGO, ND 58078-2956
(701) 541-9073
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
—
—
103TR0400X
Rehabilitation Psychologist
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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