Provider Information for 1881976249
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REBECCA DAWN DAIGNEAULT LCSW
Sex: Female
NPI: 1881976249
Last Updated: 2024-06-26
Certification Date: 2024-06-26
Certification Date: 2024-06-26
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1881976249 | ||||||||||||
| Enumeration Date | 2011-09-12 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 2813 GREY EAGLE PASS MINOT, ND 58703-1816 United States Phone: 701-340-4494 | Fax: | ||||||||||||
| Primary Practice Address | 2813 GREY EAGLE PASS MINOT, ND 58703-1816 United States Phone: 701-340-4494 | Fax: | ||||||||||||
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