Individual
KATELYN RAE ST PETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1112 NODAK DR S, FARGO, ND 58103-2333
(701) 232-6224
(701) 232-4687
Mailing address
1112 NODAK DR S, FARGO, ND 58103-2333
(701) 232-6224
(701) 232-4687
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
33050
MN
104100000X
Social Worker
6712
ND
1041C0700X
Clinical Social Worker
Primary
6712
ND
Other
Enumeration date
03/25/2024
Last updated
08/12/2026
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