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1992147243
SHAWNA MARIE CROAKER
FARGO, ND
NPI
1992147243
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ND 4466)
Enumeration Date
2013-07-26
Last Update Date
2013-07-26
Business Address
Mrs. SHAWNA MARIE CROAKER LICSW
4553 9TH AVE S STE 3
FARGO, ND 58103-7253
Phone number: 701-526-1565
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Mailing Address
Mrs. SHAWNA MARIE CROAKER LICSW
4553 9TH AVE S STE 3
FARGO, ND 58103-7253
Phone number: 701-526-1565
Copy
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