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1316795032
KERRY DEAN BUCKLE
FARGO, ND
NPI
1316795032
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ND 5140)
Enumeration Date
2024-05-08
Last Update Date
2024-05-08
Business Address
KERRY DEAN BUCKLE LCSW
5622 34TH AVE S
FARGO, ND 58104-7879
Phone number: 701-237-0942
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Mailing Address
KERRY DEAN BUCKLE LCSW
5622 34TH AVE S
FARGO, ND 58104-7879
Phone number: 701-306-9855
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