Individual
MS. CANDICE GULLICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
300 13TH AVE W STE 1, DICKINSON, ND 58601-4875
(701) 227-7500
(701) 227-7575
Mailing address
300 13TH AVE W STE 1, DICKINSON, ND 58601-4875
(701) 227-7562
(701) 227-7575
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54523
—
ND
Enumeration date
03/09/2010
Last updated
08/02/2013
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