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1679003594
JEFFREY R STINE
FARGO, ND
NPI
1679003594
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: ND 5109)
Enumeration Date
2017-06-13
Last Update Date
2021-10-05
Business Address
JEFFREY R STINE LCSW
6046 14TH ST S
FARGO, ND 58104-7340
Phone number: 701-404-0997
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Mailing Address
JEFFREY R STINE LCSW
6046 14TH ST S
FARGO, ND 58104-7340
Phone number: 701-404-0997
Copy
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