Individual
NICHOLAS GARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1112 NODAK DR S STE 105, FARGO, ND 58103-2366
(701) 280-9545
Mailing address
2801 23RD AVE S APT 222, FARGO, ND 58103-5038
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4396
ND
Other
Enumeration date
09/27/2012
Last updated
09/27/2012
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