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Individual

MIRANDA R LAMBERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2224 1ST AVE W STE 4, WILLISTON, ND 58801-6286
(701) 572-3335
Mailing address
2224 1ST AVE W STE 4, WILLISTON, ND 58801-6286
(701) 572-3335

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5641
ND

Other

Enumeration date
09/10/2018
Last updated
03/08/2024
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