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Organization

SANFORD MEDICAL CENTER FARGO

Active
Other names
Sanford Professional Building
Organization subpart
No

Provider details

NPI number
Authorized official
MARTHA LECLERC (VICE PRESIDENT)
(701) 234-6248
Entity
Organization

Contact information

Practice address
100 4TH ST S, FARGO, ND 58103-1929
(701) 234-3100
Mailing address
100 4TH ST S, FARGO, ND 58103-1929
(701) 234-3100

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary

Other

Enumeration date
08/18/2011
Last updated
11/27/2023
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