Provider Information for 1073990800
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CHERYL REPP-TREDWAY LPCC, LCPC
Sex: Female
NPI: 1073990800
Last Updated: 2023-01-11
Certification Date: 2023-01-11
Certification Date: 2023-01-11
Details
| Name | Value | ||||||||||||||||||||
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| NPI | 1073990800 | ||||||||||||||||||||
| Enumeration Date | 2015-04-30 | ||||||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||||||
| Status | Active | ||||||||||||||||||||
| Mailing Address | 4700 S WASHINGTON ST STE G GRAND FORKS, ND 58201-8155 United States Phone: 701-205-3000 | Fax: | ||||||||||||||||||||
| Primary Practice Address | 4700 S WASHINGTON ST STE G GRAND FORKS, ND 58201-8155 United States Phone: 701-205-3000 | Fax: | ||||||||||||||||||||
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