AUTUMN VASICHEK

GRAND FORKS, ND
NPI1003658527
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2024-06-07
Last Update Date2026-09-04
Business Address
AUTUMN VASICHEK B-MOD, CM
151 S 4TH ST STE 401
GRAND FORKS, ND 58201-4715
Phone number: 701-795-3000
Mailing Address
AUTUMN VASICHEK B-MOD, CM
151 S 4TH ST STE 401
GRAND FORKS, ND 58201-4715
Phone number: