Individual
JOEL P WARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LBSW
Contact information
Practice address
151 S 4TH ST STE 401, GRAND FORKS, ND 58201-4715
(701) 795-3084
Mailing address
1202 S 18TH ST, GRAND FORKS, ND 58201-5110
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5648
ND
171M00000X
Case Manager/Care Coordinator
—
—
174400000X
Specialist
—
—
Other
Enumeration date
12/31/2020
Last updated
04/25/2022
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