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Individual

MR. JAMES C YOCKIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW, LICSW,

Contact information

Practice address
1705 3RD AVE W, WILLISTON, ND 58801-4120
(701) 570-9591
Mailing address
PO BOX 2344, WILLISTON, ND 58802-2344
(701) 570-9591

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LICSW-ND 401
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13087
BCBS
ND
Enumeration date
11/07/2007
Last updated
11/07/2007
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