Individual
ANTANIA LAVETTE KITCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3400 S BROADWAY, MINOT, ND 58701-7420
(701) 218-2600
Mailing address
3400 S BROADWAY, MINOT, ND 58701-7420
(701) 218-2600
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6462
ND
Other
Enumeration date
03/22/2023
Last updated
07/27/2023
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