Tim Hart, LICSW
NPI #1295043362 in Jamestown, North Dakota
Provider Information
- NPI Number
- 1295043362
- Entity Type
- Individual
- Name
- Tim Hart, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Sep 22, 2010
- Last Updated
- Aug 15, 2011
Practice Location
- Address
- 520 3RD ST NW
- Address 2
- BOX 2055
- City
- Jamestown
- State
- North Dakota
- ZIP Code
- 58401-2968
- Phone
- (701) 253-6300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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