Individual
MANDI M TALBACKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1237 W DIVIDE AVE, SUITE 5, BISMARCK, ND 58501
(701) 328-8888
(701) 328-8900
Mailing address
1120 COLLEGE DR STE 207, BISMARCK, ND 58501-1225
(701) 751-3111
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/06/2014
Last updated
12/15/2022
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