Most Relevant Information
Provider Data
| NPI Number: | 1003825837 |
| Provider Name: | GLORIA JEAN KERN MSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 2588 |
Most Important Dates
| Enumeration Date: | 08/08/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
2101 ELM ST N
FARGO
ND
581022417
Practice Location Phone/Fax
| Phone: | 7012393779 |
| Fax: | 7012372643 |
Provider Mailing Location
1908 BURLINGTON DR
APT A1
WEST FARGO
ND
580784337
Provider Mailing Phone/Fax
| Phone: | |
| Fax: | 7012372643 |