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Jan M Blixt, LSW

Social Worker in Fargo, ND. Individual provider (NPI-1).

NPI number1871656959
StatusActive
Last updated in NPPESAug 26, 2020

Details

NPI
1871656959
Entity type
Individual (NPI-1)
Name
Jan M Blixt
Credential
LSW
Sex
Female
Sole proprietor
No
Enumeration date
Dec 19, 2006
Certification date
Aug 26, 2020
Last updated
Aug 26, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker1261NDYes
171M00000X Case Manager/Care Coordinator––
247200000X Technician, Other––

Practice location

2624 9th Ave S
Fargo, ND 58103-2350

Phone 701-298-4500 · Fax 701-298-4400

Mailing address

2624 9th Ave S
Fargo, ND 58103-2350

Phone 701-298-4500 · Fax 701-298-4400

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