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1194422014
THRIVEWORKS CLINICAL - NORTH DAKOTA PC
FARGO, ND
NPI
1194422014
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Entity Type
Organization
Authorized Contact
ANTHONY CENTORE
CEO
540-217-6461
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-02-10
Last Update Date
2023-02-10
Business Address
THRIVEWORKS CLINICAL - NORTH DAKOTA PC
3245 42ND ST S STE 100
FARGO, ND 58104-7178
Phone number: 855-284-7483
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Mailing Address
THRIVEWORKS CLINICAL - NORTH DAKOTA PC
PO BOX 748465
ATLANTA, GA 30374-8465
Phone number: 855-284-7483
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