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Organization

SANFORD BISMARCK

Active
Parent organization
SANFORD WEST
Other names
Sanford Health Dakota Children's Advocacy
Organization subpart
Yes

Provider details

NPI number
Legal business name
SANFORD WEST
Authorized official
CRAIG LAMBRECHT M.D. (CEO)
(701) 323-6000
Entity
Organization

Contact information

Practice address
200 E MAIN AVE STE 301, BISMARCK, ND 58501-3857
(701) 323-5626
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 333-1000

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
40241598123
ND
1041C0700X
Clinical Social Worker

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
56294
ND
Enumeration date
03/10/2014
Last updated
05/27/2014
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