Individual
KRISTINA S CAVALLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1407 24TH AVE S, STE. 530, GRAND FORKS, ND 58201-6761
(701) 738-0888
(701) 738-0889
Mailing address
1407 24TH AVE S, STE. 530, GRAND FORKS, ND 58201-6761
(701) 738-0888
(701) 738-0889
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3756
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19108
—
ND
Enumeration date
10/04/2006
Last updated
02/26/2015
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