CANDIS M MOCK

MINOT, ND
NPI1922043546
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ND  1523)
Enumeration Date2006-06-18
Last Update Date2007-07-08
Business Address
-- CANDIS M MOCK LAC
1015 S BROADWAY STE 18
MINOT, ND 58701-4667
Phone number: 701-857-8500
Mailing Address
-- CANDIS M MOCK LAC
1015 S BROADWAY STE 18
MINOT, ND 58701-4667
Phone number: 701-857-8500