Individual
ALLIE CATHERINE SKJONSBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
275 11TH ST S, WAHPETON, ND 58075-4655
(701) 642-2000
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
23856
MN
1041C0700X
Clinical Social Worker
Primary
5642
ND
Other
Enumeration date
04/27/2018
Last updated
08/28/2019
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