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1083752455
JANELLE R MIEDEMA
FARGO, ND
NPI
1083752455
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ND 992)
Enumeration Date
2007-02-01
Last Update Date
2007-07-08
Business Address
Ms. JANELLE R MIEDEMA LICSW
1202 23 ST S
FARGO, ND 58103
Phone number: 701-293-5429
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Mailing Address
Ms. JANELLE R MIEDEMA LICSW
1202 23 ST S
FARGO, ND 58103
Phone number: 701-293-0736
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