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Contact Information

SPIRIT LAKE TRIBE
3883 74TH AVE NE
FORT TOTTEN, ND58335
 Phone: 701-766-1600
 Fax: 701-766-1630
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for SPIRIT LAKE TRIBE · (Female)

NPI Number 1144771650
Status Active
Credentials
Entity Individual
Enumeration date 10/19/2016
Last updated 10/19/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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