Female

Angela S. Niffenegger LICSW LAC LADC

Clinical Social Worker in Grand Forks, ND(View on Map)

Full Name

Angela S Niffenegger LICSW LAC LADC

NPI Number

1255508859

NPI Type

Individual Provider

Gender

Female

Enumeration Date

05/13/2008

Specialties

(Taxonomies)

Code

1041C0700X
101YA0400X

Primary Taxonomy

Yes
No

Licenses

State

Minnesota
Minnesota
North Dakota
North Dakota

License Number

302260
18337
4456
1725

Contact
Information

Purpose

Mailing
Location

Address

151 S 4TH ST STE 401
151 S 4TH ST STE 401

City

Grand Forks
Grand Forks

State

ND
ND

Postal Code

58201-4715
58201-4715

Country

US
US

Telephone Number

(701) 795-3000
(701) 795-3000

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/27/2019

Provider Address

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