Heather Ilene Schake

NPI #1235859174 in Grand Forks, North Dakota

Provider Information

NPI Number: 1235859174
Entity Type: Individual
Name: Heather Ilene Schake
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Aug 31, 2022
Last Updated: Aug 31, 2022

Practice Location

Address: 151 S 4TH ST STE 401
City: Grand Forks
State: North Dakota
ZIP Code: 58201-4715
Phone: (701) 795-3084

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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