Individual
SHIRLEY TANDESKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
200 HIGHWAY 2 W, DEVILS LAKE, ND 58301-3532
(701) 665-2200
(701) 665-2300
Mailing address
PO BOX 650, DEVILS LAKE, ND 58301-0650
(701) 665-2200
(701) 665-2300
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
50
ND
171M00000X
Case Manager/Care Coordinator
Primary
—
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054518
—
ND
Enumeration date
10/06/2006
Last updated
09/11/2025
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