Individual
NORBERTO REYES OLSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 239-3700
Mailing address
4140 4TH AVE S APT 1128, FARGO, ND 58103-1197
(910) 489-2166
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4945
ND
Other
Enumeration date
03/13/2014
Last updated
03/13/2014
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