Individual
SHELLY SIKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
222 UNIVERSITY AVE, WILLISTON, ND 58801-5658
(701) 572-6757
Mailing address
222 UNIVERSITY AVE, WILLISTON, ND 58801-5658
(701) 572-6757
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3370
ND
171M00000X
Case Manager/Care Coordinator
3370
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
79056
—
ND
Enumeration date
05/09/2014
Last updated
08/27/2024
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