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Organization

SEARCHING FOR SUNSHINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CORDIE M. LICCIARDI (OFFICE MANAGER)
(701) 590-4045
Entity
Organization

Contact information

Practice address
30 7TH ST W STE 1F-100, DICKINSON, ND 58601-4335
(701) 590-4045
Mailing address
30 7TH ST W STE 1F-100, DICKINSON, ND 58601-4335
(701) 590-4045

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
12/11/2023
Last updated
12/11/2023
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