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1235412388
SHAREHOUSE MENTAL HEALTH CLINIC
FARGO, ND
NPI
1235412388
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Entity Type
Organization
Authorized Contact
TYREL HEGLAND
President/CEO
701-282-6561
Organization Subpart ?
Yes
Primary Taxonomy
251S00000X
(Licence: ND 1056)
Enumeration Date
2011-09-26
Last Update Date
2020-10-23
Business Address
SHAREHOUSE MENTAL HEALTH CLINIC
505 40TH ST S UNIT A
FARGO, ND 58103-1184
Phone number: 701-478-8440
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Mailing Address
SHAREHOUSE MENTAL HEALTH CLINIC
4227 9TH AVE S
FARGO, ND 58103-2018
Phone number: 701-282-6561
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