Individual
ROBERT HAUKENBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1122 1ST AVE N, FARGO, ND 58102-4604
(701) 210-2491
Mailing address
1122 1ST AVE N, FARGO, ND 58102-4604
(701) 210-2491
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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