Individual
VIANNA SELENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1411 32ND ST S, FARGO, ND 58103-6304
(701) 264-5200
Mailing address
1411 32ND ST S STE 1, FARGO, ND 58103-6304
(701) 264-5200
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6765
ND
Other
Enumeration date
06/27/2024
Last updated
03/11/2026
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