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1174949895
NATHAN MODEEN
FARGO, ND
NPI
1174949895
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ND 4828)
Enumeration Date
2014-03-06
Last Update Date
2014-03-06
Business Address
-- NATHAN MODEEN LCSW
2101 ELM ST N
FARGO, ND 58102-2417
Phone number: 701-232-3241
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Mailing Address
-- NATHAN MODEEN LCSW
2101 ELM ST N
FARGO, ND 58102-2417
Phone number: 701-232-3241
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