Individual
AKASSI MARIE KOUAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1102 7TH AVE E, WILLISTON, ND 58801-4450
(701) 572-7262
(701) 572-8783
Mailing address
1102 7TH AVE E, WILLISTON, ND 58801-4450
(701) 572-7262
(701) 572-8783
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5650
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5650
ND BOARD OF SOCIAL WORK EXAMINERS
ND
Enumeration date
08/21/2018
Last updated
02/04/2020
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