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Individual

SHELLY LOUISE MECKLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CHW

Contact information

Practice address
3451 N 14TH ST, BISMARCK, ND 58503-1586
(701) 323-6000
Mailing address
3451 N 14TH ST, BISMARCK, ND 58503-1586
(701) 323-6000

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
ND

Other

Enumeration date
04/23/2026
Last updated
04/23/2026
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