Individual
MRS. HEIDY MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1800 E BROADWAY AVE, BISMARCK, ND 58501-4742
(701) 323-5626
Mailing address
1800 E BROADWAY AVE, BISMARCK, ND 58501-4742
(701) 323-5626
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6855
ND
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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