Individual
LYDELL MITCHELL MERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASE MANAGEMENT
Contact information
Practice address
1308 ELBOWOOD LN, BISMARCK, ND 58503-5712
(701) 751-8260
Mailing address
1308 ELBOWOOD LN, BISMARCK, ND 58503-5712
(701) 751-8260
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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