Most Relevant Information
Provider Data
| NPI Number: | 1003233354 |
| Provider Name: | SAMANTHA JANE BIRRENKOTT LSW |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: | 4790 |
Most Important Dates
| Enumeration Date: | 03/25/2014 |
| Last Updated: | 03/25/2014 |
Provider Practice Location
301 BROADWAY
NAPOLEON
ND
585617010
Practice Location Phone/Fax
| Phone: | 7017542283 |
| Fax: | 7017542282 |
Provider Mailing Location
301 BROADWAY
NAPOLEON
ND
585617010
Provider Mailing Phone/Fax
| Phone: | 7017542283 |
| Fax: | 7017542282 |