Individual
CASSANDRA CHARBONEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1110 38 1/2 AVE W, WEST FARGO, ND 58078-7716
(701) 350-2362
Mailing address
809 10TH ST S APT 11, FARGO, ND 58103-2660
(701) 990-1596
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
ND
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/25/2026
Last updated
02/25/2026
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