Individual
MRS. SHAWNA MARIE CROAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3175 SIENNA DR S STE 107, FARGO, ND 58104-8910
(701) 248-6349
Mailing address
3175 SIENNA DR S STE 107, FARGO, ND 58104-8910
(701) 248-6349
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4466
ND
Other
Enumeration date
07/26/2013
Last updated
02/20/2025
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