Individual
SHANTEL MARIE FROELICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
205 4TH AVE W, LISBON, ND 58054-4109
(701) 683-6135
Mailing address
PO BOX 628, LISBON, ND 58054-0628
(701) 683-6135
(701) 683-4491
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4848
ND
Other
Enumeration date
04/23/2014
Last updated
03/20/2020
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