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Contact Information

TARA L SHIREK, LICSW
735 HILL AVE
SUITE 203
GRAFTON, ND58237
 Phone: 701-746-8376
 Fax: 701-746-9872
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for TARA L SHIREK · (Female)

NPI Number 1407067994
Status Active
Credentials LICSW (Licensed Independent Clinical Social Worker)
Entity Individual
Enumeration date 05/25/2007
Last updated 04/20/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • License # 2922
  • ND License # 2922
  • ND Medicaid 1456289
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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