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Individual

LAURA FELDMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
16351 I94, HOME ON THE RANGE, SENTINEL BUTTE, ND 58654-9500
(701) 872-3745
(701) 872-3748
Mailing address
16351 I94, HOME ON THE RANGE, SENTINEL BUTTE, ND 58654-9500
(701) 872-3745
(701) 872-3748

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
3596
ND
1041C0700X
Clinical Social Worker
Primary
3596
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
19237
ND
01
27484
BS OF ND
ND
05
74026
ND
Enumeration date
03/30/2007
Last updated
10/14/2008
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