Individual
SHANNA LINDQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSCJ
Contact information
Practice address
921 S 9TH ST STE 110, BISMARCK, ND 58504-5851
(701) 328-3937
Mailing address
921 S 9TH ST STE 110, BISMARCK, ND 58504-5851
(701) 328-3937
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17
TAXONOMY
ND
Enumeration date
05/11/2017
Last updated
05/11/2017
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