Individual
LISA ENNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 6TH ST W, WILLISTON, ND 58801-5470
(701) 334-1035
Mailing address
515 6TH ST W, WILLISTON, ND 58801-5470
(701) 334-1035
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
00000
ND
175T00000X
Peer Specialist
Primary
—
ND
Other
Enumeration date
10/09/2024
Last updated
10/24/2024
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