Organization
LISA SHUSTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA ADELE SHUSTER (CLINICAL THERAPIST)
(701) 330-9997
Entity
Organization
Contact information
Practice address
715 13TH AVE NE, #307, DEVILS LAKE, ND 58301-2300
(701) 330-9998
Mailing address
715 13TH AVE NE, #307, DEVILS LAKE, ND 58301-2300
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
3839
ND
Other
Enumeration date
03/23/2015
Last updated
03/23/2015
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