Individual
CASSIE J. SKALICKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
505 BROADWAY N STE 206, FARGO, ND 58102-4489
(701) 356-7836
Mailing address
4410 SUNRISE DR, WEST FARGO, ND 58078-8296
(701) 405-3838
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/08/2020
Last updated
02/10/2025
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