Individual
CASSONDRA ELIZABETH ST CYR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 2ND AVE S, FARGO, ND 58103-8226
(701) 241-5747
Mailing address
1010 2ND AVE S PO BOX 3106, FARGO, ND 58108-3106
(701) 239-6837
(701) 241-5775
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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