LISA VIG

FARGO, ND
NPI1962805317
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ND  1323)
Enumeration Date2014-09-30
Last Update Date2020-12-08
Business Address
LISA VIG LAC, ICGC II
3911 20TH AVE S
FARGO, ND 58103-4705
Phone number: 701-235-7341
Mailing Address
LISA VIG LAC, ICGC II
PO BOX 389
FARGO, ND 58107-0389
Phone number: 701-235-7341
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