Most Relevant Information
Provider Data
| NPI Number: | 1003430786 |
| Provider Name: | TANYA MARIE HENNIX |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/29/2020 |
| Last Updated: | 05/29/2020 |
Provider Practice Location
1425 21ST AVE NW STE A
MINOT
ND
587030817
Practice Location Phone/Fax
| Phone: | 7018509683 |
| Fax: | 7018398990 |
Provider Mailing Location
1425 21ST AVE NW STE A
MINOT
ND
587030817
Provider Mailing Phone/Fax
| Phone: | 7018509683 |
| Fax: | 7018398990 |