KENDRA WILSON

FARGO, ND
NPI1285032052
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  303730)
Enumeration Date2014-12-10
Last Update Date2016-02-18
Business Address
-- KENDRA WILSON LADC
4215 9TH AVE S
FARGO, ND 58103-2018
Phone number: 701-282-6561
Mailing Address
-- KENDRA WILSON LADC
4215 9TH AVE S
FARGO, ND 58103-2018
Phone number: 701-282-6561