Individual
ASHLEY FALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 COLLEGE DR S STE 8, DEVILS LAKE, ND 58301-3537
(701) 662-3110
Mailing address
4909 SHELBURNE ST, BISMARCK, ND 58503-5605
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172A00000X
Driver
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/17/2023
Last updated
06/13/2024
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