| Theresa Scully | |
|
125 Main St, Suite #220 Williston ND 58801 | |
| (701) 570-4602 | |
| Not Available |
| Full Name | Theresa Scully |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 125 Main St,, Williston, North Dakota |
| Authorized Official Name and Position | Theresa E Scully (OWNER/PRACTIONER) |
| Authorized Official Contact | 7015704602 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa Scully Po Box 1883 Williston ND 58802-1883 Ph: (701) 570-4602 | Theresa Scully 125 Main St, Suite #220 Williston ND 58801 Ph: (701) 570-4602 |
| NPI Number | 1801337415 |
|---|---|
| Provider Enumeration Date | 03/15/2017 |
| Last Update Date | 09/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801337415 | NPI | - | NPPES |
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