Organization
SHANTI WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA A SHIGEMATSU LCSW (OWNER/THERAPIST)
(701) 318-6551
Entity
Organization
Contact information
Practice address
3481 UNIVERSITY DR S STE 104, FARGO, ND 58104-6235
(701) 353-9238
(701) 205-1221
Mailing address
3481 UNIVERSITY DR S STE 104, FARGO, ND 58104-6235
(701) 353-9238
(701) 205-1221
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/17/2023
Last updated
02/17/2023
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