Individual
AMANDA LINDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 8TH ST S, MOORHEAD, MN 56560-3605
(701) 451-4811
(701) 451-4840
Mailing address
1201 25TH ST S, PO BOX 9859, FARGO, ND 58103-2311
(701) 451-4900
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17351
MN
Other
Enumeration date
04/27/2015
Last updated
10/20/2015
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