Individual
SUZANNE SHOLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
151 S 4TH ST STE 200, GRAND FORKS, ND 58201-4715
(701) 787-8540
(701) 787-4918
Mailing address
PO BOX 5196, GRAND FORKS, ND 58206-5196
(701) 787-8560
(701) 787-4918
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3611
ND
Other
Enumeration date
02/01/2018
Last updated
02/01/2018
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