Individual
GEORGINA A MCCANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 1ST ST SW STE 250, MINOT, ND 58701-3851
(701) 852-3328
(701) 852-2521
Mailing address
1201 25TH ST S, PO BOX 9859, FARGO, ND 58103-2311
(701) 852-3328
(701) 451-4893
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2437
ND
Other
Enumeration date
01/22/2010
Last updated
01/22/2010
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