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General NPI Number Information
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NPI Number | 1982525812
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Entity Type | Organization
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Legal Business Name | INDEPENDENT SCHOOL DISTRICT #38
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Dates
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Enumeration Date | 07/24/2026
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Last Update Date | 07/24/2026
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Provider Practice Location Address
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Address Line | 23990 HIGHWAY 1 EAST
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City | RED LAKE
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State | MN
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Zip | 56671-0000
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Country | US
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Telephone | 218-679-3353
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 499
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City | RED LAKE
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State | MN
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Zip | 56671-0499
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Country | US
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Telephone | 218-679-3353
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Fax |
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Authorized Official
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Title or Position | MH PROGRAM MANAGEMENT CONSULTANT
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Name | DANIELLE NORBY KONDZIOLKA
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Credential | MSW, LICSW
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Telephone | 218-203-9698
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number |
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License Number State |
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