Individual
RACHEL LUCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 38TH ST S, FARGO, ND 58103-4443
(218) 793-9509
Mailing address
101 8TH ST S, FARGO, ND 58103-1822
(701) 491-3655
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
DUM00000
ND
175T00000X
Peer Specialist
Primary
—
ND
Other
Enumeration date
03/24/2022
Last updated
06/11/2024
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