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NPI Code Detail

MEDICARE: DEBBIE ANN OBERG LICSW, CDMS

MEDICARE: DEBBIE ANN OBERG LICSW, CDMS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker2977ND

General Provider Information

NPI Number : 1164512265
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBBIE ANN OBERG LICSW, CDMS
Provider Business Mailing Address
First Line : 2217 9TH ST SE
Second Line :
City : EAST GRAND FORKS
State : MN
Zip : 56721-3008
Country : US
Telephone Number : 701-795-3099
Fax Number :
Provider Business Practice Location Address
First Line : 3535 S 31ST ST STE 201
Second Line :
City : GRAND FORKS
State : ND
Zip : 58201-3593
Country : US
Telephone Number : 701-780-6821
Fax Number : 701-780-1973
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2006
Last Update Date : 11/25/2019

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Directions to “ DEBBIE ANN OBERG LICSW, CDMS” Practice Location

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