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1497841753
CHARLES A SUDA
GRAND FORKS, ND
NPI
1497841753
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: ND 303)
Enumeration Date
2006-10-05
Last Update Date
2007-10-26
Business Address
CHARLES A SUDA LICSW
860 S COLUMBIA RD
GRAND FORKS, ND 58201-4028
Phone number: 701-780-6697
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Mailing Address
CHARLES A SUDA LICSW
PO BOX 6002
GRAND FORKS, ND 58206-6002
Phone number: 701-780-5000
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