Individual
DANIELLE CUSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1547 30TH AVE S, MOORHEAD, MN 56560
(218) 287-4338
(218) 287-5928
Mailing address
1547 30TH AVE S, MOORHEAD, MN 56560
(218) 287-4338
(218) 287-5928
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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