Individual
MANDY J BUICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
110 W BROADWAY STE 202, WILLISTON, ND 58801-6056
(701) 774-6300
Mailing address
110 W BROADWAY STE 202, WILLISTON, ND 58801-6056
(701) 774-6300
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
3955
ND
171M00000X
Case Manager/Care Coordinator
Primary
—
ND
347C00000X
Private Vehicle
BUI-81-0352
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54517
—
ND
Enumeration date
10/25/2006
Last updated
07/14/2026
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